Individual provider Active NPI

Jennifer Marie Solano, PA-C

  • Medical Physician Assistant
  • Scottsdale, AZ
National Provider Identifier
1619305349
Registry record updated Jun 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
5534 Issued in AZ
Practice address
20945 N Pima Rd Ste 110
Scottsdale, AZ 85255-5585
Phone
(480) 800-3550
Fax
(480) 800-3551
NPI assigned
Oct 15, 2013
Last updated
Jun 29, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 5534 AZ Primary

Addresses

Primary practice location

20945 N Pima Rd Ste 110
Scottsdale, AZ 85255-5585

Mailing address

20945 N Pima Rd Ste 110
Scottsdale, AZ 85255-5585
Phone (480) 800-3550

Other names 1

  • Jennifer Marie Coughenour Former name

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
I20140912001041 AZ Practitioner - Physician Assistant 8325267990 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FCGGCA/Endpoint/FCGGCA

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1381795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656460800000",
    "number": "1619305349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20945 N PIMA RD STE 110",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852555585",
            "telephone_number": "480-800-3550",
            "fax_number": "480-800-3551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20945 N PIMA RD STE 110",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852555585",
            "telephone_number": "480-800-3550",
            "fax_number": "480-800-3551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLANO",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-15",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "5534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "COUGHENOUR",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.