Individual provider Active NPI

Lisa M Soltis, MSN, APRN, CCNS

  • Critical Care Medicine Clinical Nurse Specialist
  • Cary, NC
National Provider Identifier
1407631732
Registry record updated Aug 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine Clinical Nurse SpecialistTaxonomy code 364SC0200X
License
149420 Issued in NC
Practice address
811 Rymark CT
Cary, NC 27513-2634
Phone
(919) 621-3921
NPI assigned
Aug 25, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Clinical Nurse Specialist 364SC0200X 149420 NC Primary

Addresses

Primary practice location

811 Rymark CT
Cary, NC 27513-2634

Mailing address

811 Rymark CT
Cary, NC 27513-2634
Phone (919) 621-3921

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
149420NCMDCritical Care Medicine Clinical Nurse Specialist

NPI Registry JSON

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

{
    "created_epoch": "1692921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692921600000",
    "number": "1407631732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 RYMARK CT",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275132634",
            "telephone_number": "919-621-3921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 RYMARK CT",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275132634",
            "telephone_number": "919-621-3921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLTIS",
        "first_name": "LISA",
        "middle_name": "M",
        "credential": "MSN, APRN, CCNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-25",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SC0200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Critical Care Medicine",
            "state": "NC",
            "license": "149420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.