Active NPI
Folabi Solanke
- Community Health Worker
- Phoenix, AZ
National Provider Identifier
1417326455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Practice address
- 1545 E Villa Theresa Dr
Phoenix, AZ 85022-1282 - Phone
- (480) 203-5862
- NPI assigned
- Sep 21, 2015
- Last updated
- Sep 21, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | NU | Primary |
Addresses
Primary practice location
1545 E Villa Theresa Dr
Phoenix, AZ 85022-1282
Mailing address
1545 East Vila Theresa Drive
Phoenix, AZ 85022
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47-5034437 | Medicaid | AZ |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442793600000",
"number": "1417326455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1545 EAST VILA THERESA DRIVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "85022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1545 E VILLA THERESA DR",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850221282",
"telephone_number": "480-203-5862"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOLANKE",
"first_name": "FOLABI",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-09-21",
"last_updated": "2015-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47-5034437",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.