Barbara Solomon, CNS LDN
Individual provider Active NPI Nutritionist · Cordova, AK
NPI 1740856103 · NPPES record last updated May 27, 2021
Key facts
- NPI
- 1740856103
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nutritionist 133N00000X
- License
- 138142 (AK)
- Practice address
- 705 2ND Street
Cordova, AK 99574 - Phone
- (907) 424-3622
- NPI assigned
- May 27, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Native Village of Eyak
Practice addresses (Care Compare)
705 2ND St
Native Village of Eyak Ilanka Com
Cordova, AK 99574-2290
Phone (907) 424-3622
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210930001306 | TX | Practitioner - Registered Dietitian Or Nutrition Professional | 8527465764 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Specialist
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Native Village of Eyak | Current |
Accepting new patients | |
| Native Village of Eyak | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | 138142 | AK | Yes |
Addresses
Primary practice location
705 2ND Street
Cordova, AK 99574
Mailing address
PO Box 1983
Cordova, AK 99574-1983
Phone (619) 798-8193
Other providers in Cordova, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 27, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.