Active NPI
Diane N Solomon, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Portland, OR
National Provider Identifier
1568507747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 200450128PMHNP-PP
- Practice address
- 833 SW 11TH Avenue
Suite 915
Portland, OR 97205 - Phone
- (503) 224-3438
- Fax
- (503) 224-3089
- NPI assigned
- Feb 21, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 200450128PMHNP-PP | OR | Primary |
Addresses
Primary practice location
833 SW 11TH Avenue
Suite 915
Portland, OR 97205
Mailing address
833 SW 11TH Avenue
Suite 915
Portland, OR 97205
Phone (503) 224-3438
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 849648000 | Other | OR | REGENCE BCBS |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200450128PMHNP-PP | OR | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1568507747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "833 SW 11TH AVENUE",
"address_2": "SUITE 915",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97205",
"telephone_number": "503-224-3438",
"fax_number": "503-224-3089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "833 SW 11TH AVENUE",
"address_2": "SUITE 915",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97205",
"telephone_number": "503-224-3438",
"fax_number": "503-224-3089"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOLOMON",
"first_name": "DIANE",
"middle_name": "N",
"credential": "PMHNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-21",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "OR",
"license": "200450128PMHNP-PP",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BCBS",
"identifier": "849648000",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.