Individual provider Active NPI

Sophia Noble, FNP-C

  • Family Nurse Practitioner
  • Bartlett, TN
National Provider Identifier
1245600261
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
20433 Issued in TN
Practice address
2855 Stage Village CV Ste 5
Bartlett, TN 38134-4616
Phone
(901) 245-1975
Fax
(901) 688-2098
NPI assigned
Oct 2, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 20433 TN Primary

Addresses

Primary practice location

2855 Stage Village CV Ste 5
Bartlett, TN 38134-4616

Mailing address

8767 Becca PT
Cordova, TN 38016-1629
Phone (901) 830-8850

Other practice location 1

3601 Paul R Lowry Rd
Memphis, TN 38109-3007
Phone (901) 520-6400

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
I20221011002288 TN Practitioner - Nurse Practitioner 8426424730 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nucor Family Clinic CurrentSince Mar 1, 2025 Accepting new patients
Genesis Wellness Weight Loss and Aesthetics LLC CurrentSince May 1, 2025 Accepting new patients

Locations

2855 Stage Village Cv
Ste 5
Bartlett, TN 38134
Phone (901) 245-1975

3601 Paul R Lowry Rd
Memphis, TN 38109
Phone (901) 520-6400

Organizations & group practices 2

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": "1443744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743552000000",
    "number": "1245600261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8767 BECCA PT",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380161629",
            "telephone_number": "901-830-8850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2855 STAGE VILLAGE CV STE 5",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381344616",
            "telephone_number": "901-245-1975",
            "fax_number": "901-688-2098"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3601 Paul R Lowry Rd",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381093007",
            "country_code": "US",
            "telephone_number": "901-520-6400",
            "fax_number": "901-520-6403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOBLE",
        "first_name": "SOPHIA",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-02",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "20433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartlett, TN

Sources for this page

Verify at the official NPI Registry.