Solace Therapeutics, Inc

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

14396 Issued in TN

Legal business name

SOLACE THERAPEUTICS, INC

Practice address

11606 Chapman Hwy Ste 3
Seymour, TN 37865-5270

Phone

(865) 773-0285

Fax

(865) 773-0335

NPI assigned

Sep 6, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Laura Ann Moore, NP

Title

Owner

Phone

(865) 773-0285

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1346889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346889600000",
    "number": "1912256769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11606 CHAPMAN HWY STE 3",
            "city": "SEYMOUR",
            "state": "TN",
            "postal_code": "378655270",
            "telephone_number": "865-773-0285",
            "fax_number": "865-773-0335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11606 CHAPMAN HWY STE 3",
            "city": "SEYMOUR",
            "state": "TN",
            "postal_code": "378655270",
            "telephone_number": "865-773-0285",
            "fax_number": "865-773-0335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLACE THERAPEUTICS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-06",
        "last_updated": "2012-09-06",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "865-773-0285",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "14396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nurse Practitioner in Seymour, TN
• Providers in Seymour, TN by specialty
• Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2012; 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.