Individual provider Active NPI

Camile Fabrigail Solidum, NP-C

  • Family Nurse Practitioner
  • Glendale, AZ
National Provider Identifier
1437623717
Registry record updated May 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
219656 Issued in AZ
Practice address
6320 W Union Hills Dr Ste A140
Glendale, AZ 85308-7172
Phone
(480) 347-0844
Fax
(480) 347-0885
NPI assigned
Jan 19, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 219656 AZ Primary

Addresses

Primary practice location

6320 W Union Hills Dr Ste A140
Glendale, AZ 85308-7172

Mailing address

6320 W Union Hills Dr Ste A140
Glendale, AZ 85308-7172
Phone (480) 347-0844

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20190726001979 AZ Practitioner - Nurse Practitioner 5698001774 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Innovative Wound Solutions LLCGroup PAC ID 3072954759, 23 clinicians

Practice addresses (Care Compare)

10210 N 92ND St
Suite 104
Scottsdale, AZ 85258-4531
Phone (480) 493-0900

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
219656AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Berman Medical Consulting, PC CurrentSince May 30, 2023 Accepting new patients
Precision Mobile Medical Services PLLC Nurse Practitioner Current Accepting new patients
CVD LLC Family CurrentSince May 21, 2023 Accepting new patients

Locations

6320 W Union Hills Dr
Ste A140
Glendale, AZ 85308
Phone (623) 435-8346

6320 W Union Hills Dr
Ste 140
Glendale, AZ 85308
Phone (480) 347-0844

6501 E Greenway Pkwy
Ste 103
Scottsdale, AZ 85254
Phone (602) 494-5015

14642 N Del Webb Blvd
Ste 200
Sun City, AZ 85351
Phone (480) 347-0844

Interoperability endpoints

  • Direct secure messaging: camile.solidum.p1@direct.nachci.nextgenshare.com

Organizations & group practices 6

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1547856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684108800000",
    "number": "1437623717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6320 W UNION HILLS DR STE A140",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853087172",
            "telephone_number": "480-347-0844",
            "fax_number": "480-347-0885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6320 W UNION HILLS DR STE A140",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853087172",
            "telephone_number": "480-347-0844",
            "fax_number": "480-347-0885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLIDUM",
        "first_name": "CAMILE",
        "middle_name": "FABRIGAIL",
        "name_prefix": "Miss",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-19",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "219656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.