Individual provider Active NPI

Alexis Solomon, LAT, ATC, AEMT

  • Athletic Trainer
  • Greenville, NC
National Provider Identifier
1952833014
Registry record updated May 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
LAT-3024 Issued in NC
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

Updated by the provider on May 23, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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

LicenseStateTypeSpecialty
P115261NCMDIntermediate Emergency Medical Technician
LAT-3024NCMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Youngs Physical Therapy & Sports Rehab, Inc. PastSince Oct 1, 2012 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.

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.

Verify at the official NPI Registry.