Active NPI
Sophia Strother
- Clinic/Center
- Waco, TX
National Provider Identifier
1093392185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Practice address
- 1001 Dunbar St
Waco, TX 76704-1550 - Phone
- (254) 595-5556
- Fax
- (844) 213-1440
- NPI assigned
- Mar 25, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
1001 Dunbar St
Waco, TX 76704-1550
Mailing address
1001 Dunbar St
Waco, TX 76704-1550
Phone (254) 595-5556
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 862361735 | Other | TX | TAX ID |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616630400000",
"number": "1093392185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 DUNBAR ST",
"city": "WACO",
"state": "TX",
"postal_code": "767041550",
"telephone_number": "254-595-5556",
"fax_number": "844-213-1440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 DUNBAR ST",
"city": "WACO",
"state": "TX",
"postal_code": "767041550",
"telephone_number": "254-595-5556",
"fax_number": "844-213-1440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STROTHER",
"first_name": "SOPHIA",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-03-25",
"last_updated": "2021-03-25",
"certification_date": "2021-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "862361735",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Waco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.