Stacia J. Soliday, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP30006947 Issued in WA

Practice address

214 SW Main
Wilbur, WA 99122-0582

Phone

(509) 647-5321

Fax

(509) 647-2238

NPI assigned

Jun 14, 2006

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Lincoln County Hospital District 3

  dba North Basin Medical Clinics--Reardan Clinic

  • Rural Health Clinic/Center
  • Reardan, WA
  • NPI 1639113830
  NPD
• Lincoln County Hospital District #3

  dba Lincoln Hospital

  • Critical Access Hospital
  • Davenport, WA
  • NPI 1841234598
  NPD (past)
• Lincoln County Hospital District #3 / North Basin Medical Clinics

  dba North Basin Medical Clinics

  • Family Medicine Physician
  • Davenport, WA
  • NPI 1053527853
  NPD (past)
• Lincoln County Hospital District 3

  • General Acute Care Hospital
  • Davenport, WA
  • NPI 1013027218
  NPD (past)
• Lincoln County Hospital District 3

  • Skilled Nursing Facility
  • Davenport, WA
  • NPI 1093819211
  NPD (past)
• Lincoln County Hospital District 3

  dba Davenport Clinic

  • Rural Health Clinic/Center
  • Davenport, WA
  • NPI 1558309518
  NPD (past)

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1700829843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 3RD ST",
            "address_2": "SUITE 1",
            "city": "DAVENPORT",
            "state": "WA",
            "postal_code": "991229730",
            "telephone_number": "509-725-7501",
            "fax_number": "509-725-7504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 SW MAIN",
            "city": "WILBUR",
            "state": "WA",
            "postal_code": "991220582",
            "telephone_number": "509-647-5321",
            "fax_number": "509-647-2238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLIDAY",
        "first_name": "STACIA",
        "middle_name": "J.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-14",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN00132618",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP30006947",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT. OF L & I",
            "identifier": "193676",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7101132",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9644220",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CJ6525",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7117450",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lincoln County Hospital District #3 (North Basin Medical Clinics)
• Ralph A. Monteagudo, DO
• Julie Anne Pyle, C.PH.T
• Richard J Richardson, RN
• Alita Smith
• Town of Wilbur
• Wilbur Drug, Inc.
• Wilbur School District
• Candice Joleen Wippel

• Family Nurse Practitioner in Wilbur, WA
• Providers in Wilbur, WA by specialty
• Family Nurse Practitioner in Washington

• 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.

Verify at the official NPI Registry.