Active NPI
Alexis Solomon, LAT, ATC, AEMT
- Athletic Trainer
- Greenville, NC
National Provider Identifier
1952833014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- LAT-3024
- Practice address
- 1301 E Arlington Blvd
Greenville, NC 27858 - Phone
- (252) 565-8812
- Fax
- (252) 565-8814
- NPI assigned
- Mar 29, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | LAT-3024 | NC | Primary |
| Intermediate Emergency Medical Technician | 146M00000X | P115261 | NC |
Addresses
Primary practice location
1301 E Arlington Blvd
Greenville, NC 27858
Mailing address
1909 Chavis CT
Greenville, NC 27858-8888
Other practice location 1
1 Brevard College Dr
Brevard, NC 28712-4283
Phone (336) 407-3680
Other names 1
- Alexis Evans
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P115261 | NC | MD | Intermediate Emergency Medical Technician |
| LAT-3024 | NC | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Youngs Physical Therapy & Sports Rehab, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Greenville, NC
- NPI 1306192141
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527033600000",
"number": "1952833014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1909 CHAVIS CT",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278588888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 E ARLINGTON BLVD",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "27858",
"telephone_number": "252-565-8812",
"fax_number": "252-565-8814"
}
],
"practiceLocations": [
{
"address_1": "1 Brevard College Dr",
"address_purpose": "LOCATION",
"city": "Brevard",
"state": "NC",
"postal_code": "287124283",
"country_code": "US",
"telephone_number": "336-407-3680",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SOLOMON",
"first_name": "ALEXIS",
"credential": "LAT, ATC, AEMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-29",
"last_updated": "2018-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NC",
"license": "LAT-3024",
"primary": true
},
{
"code": "146M00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Intermediate",
"state": "NC",
"license": "P115261",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ALEXIS",
"last_name": "EVANS",
"credential": "LAT, ATC, AEMT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Greenville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.