Susan Jane Solle, FNPC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704208819 Issued in MI

Practice address

37304 Kings Hwy
Beaver Island, MI 49782-5134

Phone

(231) 448-2275

Fax

(231) 448-2348

NPI assigned

Apr 13, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358812800000",
    "number": "1619931920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37304 KINGS HWY",
            "city": "BEAVER ISLAND",
            "state": "MI",
            "postal_code": "497825134",
            "telephone_number": "231-448-2275",
            "fax_number": "231-448-2348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37304 KINGS HWY",
            "city": "BEAVER ISLAND",
            "state": "MI",
            "postal_code": "497825134",
            "telephone_number": "231-448-2275",
            "fax_number": "231-448-2348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLLE",
        "first_name": "SUSAN",
        "middle_name": "JANE",
        "credential": "FNPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-13",
        "last_updated": "2013-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704208819",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4816719",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Beaver Island EMS
• Beaver Island EMS
• Beaver Island Rural Health Center
• Courtney Deruiter, RDH
• Amanda Tiffany McGee, NP-C
• Scott Spencer
• Wendy Sue White, DDS
• Kimberly Elizabeth Wysocki, PA

• Family Nurse Practitioner in Beaver Island, MI
• Providers in Beaver Island, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2013; 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.