Active NPI
Barbara Solomon, CNS LDN
- Nutritionist
- Cordova, AK
National Provider Identifier
1740856103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- License
- 138142
- Practice address
- 705 2ND Street
Cordova, AK 99574 - Phone
- (907) 424-3622
- NPI assigned
- May 27, 2021
- Last updated
- May 27, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nutritionist | 133N00000X | 138142 | AK | Primary |
Addresses
Primary practice location
705 2ND Street
Cordova, AK 99574
Mailing address
PO Box 1983
Cordova, AK 99574-1983
Phone (619) 798-8193
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
705 2ND St
Native Village of Eyak Ilanka Com
Cordova, AK 99574-2290
Phone (907) 424-3622
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- 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 |
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": "1622073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622073600000",
"number": "1740856103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1983",
"city": "CORDOVA",
"state": "AK",
"postal_code": "995741983",
"telephone_number": "619-798-8193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "705 2ND STREET",
"city": "CORDOVA",
"state": "AK",
"postal_code": "99574",
"telephone_number": "907-424-3622"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOLOMON",
"first_name": "BARBARA",
"credential": "CNS LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-27",
"last_updated": "2021-05-27",
"certification_date": "2021-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "AK",
"license": "138142",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cordova, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.