Active NPI
Solace Family Healthcare
- Family Medicine Physician
- Cumberland, MD
National Provider Identifier
1902579477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- SOLACE FAMILY HEALTHCARE
- Practice address
- 925 Bishop Walsh Rd Ste 7
Cumberland, MD 21502-1845 - Phone
- (304) 698-7030
- NPI assigned
- Jul 29, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tracy Underwood, MSN, FNP-BC
- Title
- Owner
- Phone
- (304) 698-7030
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
925 Bishop Walsh Rd Ste 7
Cumberland, MD 21502-1845
Mailing address
39 Sampson Rock Rd
Frostburg, MD 21532-4112
Phone (303) 046-9870
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Registered Nurse
- Frostburg, MD
- NPI 1447957360
-
- Family Nurse Practitioner
- Cumberland, MD
- NPI 1962001818
-
- Nurse Practitioner
- Morgantown, WV
- NPI 1922760289
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627516800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1627603200000",
"number": "1902579477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39 SAMPSON ROCK RD",
"city": "FROSTBURG",
"state": "MD",
"postal_code": "215324112",
"telephone_number": "303-046-9870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "925 BISHOP WALSH RD STE 7",
"city": "CUMBERLAND",
"state": "MD",
"postal_code": "215021845",
"telephone_number": "304-698-7030"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOLACE FAMILY HEALTHCARE",
"organizational_subpart": "NO",
"enumeration_date": "2021-07-29",
"last_updated": "2021-07-30",
"certification_date": "2021-07-30",
"status": "A",
"authorized_official_last_name": "UNDERWOOD",
"authorized_official_first_name": "TRACY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "304-698-7030",
"authorized_official_credential": "MSN, FNP-BC"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cumberland, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.