Individual provider Active NPI

Marietta Elise Solomon, APRN

  • Family Medicine Physician
  • Bonifay, FL
National Provider Identifier
1407416951
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
11002732 Issued in FL
Practice address
3269 Highway 90
Bonifay, FL 32425-6001
Phone
(850) 547-9991
Fax
(850) 547-9992
NPI assigned
Jun 17, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 11002732 FL Primary

Addresses

Primary practice location

3269 Highway 90
Bonifay, FL 32425-6001

Mailing address

3269 Highway 90
Bonifay, FL 32425-6001
Phone (850) 547-9991

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL continifamilymedicine@outlook.com Contini Family Medicine LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190808000325 FL Practitioner - Nurse Practitioner 1951638378 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11002732FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Contini Family Medicine LLC Family Medicine CurrentSince Jun 24, 2019 Accepting new patients
Hannahan Comprehensive Pain Care PC PastSince Jun 24, 2019 Accepting new patients

Locations

3269 Highway 90
Bonifay, FL 32425
Phone (850) 547-9991

1702 S Waukesha St
Bonifay, FL 32425
Phone (850) 547-9991

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1560729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1407416951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3269 HIGHWAY 90",
            "city": "BONIFAY",
            "state": "FL",
            "postal_code": "324256001",
            "telephone_number": "850-547-9991",
            "fax_number": "850-547-9992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3269 HIGHWAY 90",
            "city": "BONIFAY",
            "state": "FL",
            "postal_code": "324256001",
            "telephone_number": "850-547-9991",
            "fax_number": "850-547-9992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLOMON",
        "first_name": "MARIETTA",
        "middle_name": "ELISE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-17",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "11002732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "continifamilymedicine@outlook.com",
            "affiliation": "Y",
            "endpointDescription": "email",
            "affiliationName": "Contini Family Medicine LLC",
            "address_1": "3269 Highway 90",
            "city": "Bonifay",
            "state": "FL",
            "country_code": "US",
            "postal_code": "324256001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bonifay, FL

Sources for this page

Verify at the official NPI Registry.