Active NPI
Sophia Kim Marie Thiede, SLP-CF
- Speech-Language Pathologist
- Medford, WI
National Provider Identifier
1184301129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 6854154
- Practice address
- 103 S Gibson St
Medford, WI 54451-1622 - Phone
- (715) 748-8112
- NPI assigned
- Jun 30, 2023
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 6854154 | WI | Primary |
| Speech-Language Pathologist | 235Z00000X | 6320154 | WI |
Addresses
Primary practice location
103 S Gibson St
Medford, WI 54451-1622
Mailing address
103 S. Gibson Street
Medford, WI 54451
Phone (715) 965-8112
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6320154 | WI | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aspirus Medford Hospital & Clinics, Inc. | Current | Accepting new patients | |
| Aspirus Stanley Hospital & Clinics, Inc. | Current | Accepting new patients | |
| Aspirus Medford Hospital & Clinics, Inc. | Current | Accepting new patients | |
| Aspirus Medford Hospital & Clinics, Inc. | Current | Accepting new patients | |
| Aspirus Stanley Hospital & Clinics, Inc | Current | Accepting new patients | |
| Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. | Past | Accepting new patients |
Locations
29980 Network Pl
Chicago, IL 60673
135 S Gibson St
Medford, WI 54451
Phone (715) 748-8100
103 S Gibson St
Medford, WI 54451
Phone (715) 748-8112
1120 Pine St
Stanley, WI 54768
Phone (715) 644-5530
Organizations & group practices 6
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.
-
- Rural Health Clinic/Center
- Gilman, WI
- NPI 1285703173
-
- Critical Access Hospital
- Medford, WI
- NPI 1619079597
-
- Critical Access Hospital
- Stanley, WI
- NPI 1053391730
-
- Medicare Defined Swing Bed Hospital Unit
- Medford, WI
- NPI 1427105923
-
- Community/Retail Pharmacy
- Stanley, WI
- NPI 1578272266
-
- General Acute Care Hospital
- Rhinelander, WI
- NPI 1356391247
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784678400000",
"number": "1184301129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 S. GIBSON STREET",
"city": "MEDFORD",
"state": "WI",
"postal_code": "54451",
"telephone_number": "715-965-8112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 S GIBSON ST",
"city": "MEDFORD",
"state": "WI",
"postal_code": "544511622",
"telephone_number": "715-748-8112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THIEDE",
"first_name": "SOPHIA",
"middle_name": "KIM MARIE",
"credential": "SLP-CF",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-30",
"last_updated": "2026-07-22",
"certification_date": "2026-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WI",
"license": "6854154",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WI",
"license": "6320154",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Medford, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.