Individual provider Active NPI

Sophia Marie Brucker, FNP-C

  • Family Nurse Practitioner
  • Nashville, TN
National Provider Identifier
1124899158
Registry record updated Apr 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
35004 Issued in TN
Practice address
310 25TH Ave N Ste 101
Nashville, TN 37203-1697
Phone
(866) 231-0701
NPI assigned
Jan 9, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 35004 TN Primary

Addresses

Primary practice location

310 25TH Ave N Ste 101
Nashville, TN 37203-1697

Mailing address

310 25TH Ave N Ste 101
Nashville, TN 37203-1697
Phone (866) 231-0701

Other practice location 1

1 Sheridan Sq
Kingsport, TN 37660-7391
Phone (423) 392-4884

Other names 1

  • Sophia Marie Pastrick Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250221002823 TN Practitioner - Nurse Practitioner 1153841044 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allergy Associates, PA 74 clinicians

Practice addresses (Care Compare)

801 N Weisgarber Rd
Suite 200
Knoxville, TN 37909-2707
Phone (865) 584-8588

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy Associates, P.a. Single Specialty CurrentSince Feb 10, 2025 Accepting new patients
Allergy Associates, PA CurrentSince Feb 10, 2025 Accepting new patients
Allergy Associates PA Past Accepting new patients
Allergy Associates, PA Past Accepting new patients

Locations

3810 Central Pike
Ste 201
Hermitage, TN 37076
Phone (615) 475-0148

6701 Baum Dr
Ste 140
Knoxville, TN 37919

801 N Weisgarber Rd
Ste 200
Knoxville, TN 37909
Phone (655) 848-5888

310 25th Ave N
Ste 101
Nashville, TN 37203
Phone (866) 231-0701

Organizations & group practices 8

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": "1704758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776038400000",
    "number": "1124899158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 25TH AVE N STE 101",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031697",
            "telephone_number": "866-231-0701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 25TH AVE N STE 101",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031697",
            "telephone_number": "866-231-0701"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Sheridan Sq",
            "address_purpose": "LOCATION",
            "city": "Kingsport",
            "state": "TN",
            "postal_code": "376607391",
            "country_code": "US",
            "telephone_number": "423-392-4884",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRUCKER",
        "first_name": "SOPHIA",
        "middle_name": "MARIE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-09",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "35004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SOPHIA",
            "last_name": "PASTRICK",
            "middle_name": "MARIE",
            "credential": "FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.