Individual provider Active NPI

Dora Beth Soper, FNP-BC

  • Family Nurse Practitioner
  • Murfreesboro, TN
National Provider Identifier
1366622656
Registry record updated Jan 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN #70458/ APN #6054 Issued in TN
Practice address
1700 Medical Center Pkwy
Murfreesboro, TN 37129-2245
Phone
(615) 396-4694
NPI assigned
Nov 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2023

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 RN #70458/ APN #6054 TN Primary

Addresses

Primary practice location

1700 Medical Center Pkwy
Murfreesboro, TN 37129-2245

Mailing address

1700 Medical Center Pkwy
Murfreesboro, TN 37129-2245
Phone (615) 396-4694

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
I20080207000299 TN Practitioner - Nurse Practitioner 8921181470 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6054TNMDSpeech-Language Pathologist
RN #70458/ APN #6054TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Anova Medical Associates, PLC CurrentSince Sep 1, 2023 Accepting new patients
Saint Thomas Medical Partners CurrentSince Feb 8, 2023 Accepting new patients
Havely Springs Physician Services, PC CurrentSince Aug 15, 2023 Accepting new patients
St. Thomas NP, LLC Past Accepting new patients
St Thomas NP LLC Past Accepting new patients

Locations

1156 Nashville Pike
Gallatin, TN 37066
Phone (615) 989-1088

1700 Medical Center Pkwy
Murfreesboro, TN 37129
Phone (615) 396-4100

4220 Harding Pike
Nashville, TN 37205
Phone (615) 222-2111

2000 Church St
Ofc Box
Nashville, TN 37236

Organizations & group practices 5

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": "1194220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1366622656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 MEDICAL CENTER PKWY",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371292245",
            "telephone_number": "615-396-4694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 MEDICAL CENTER PKWY",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371292245",
            "telephone_number": "615-396-4694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOPER",
        "first_name": "DORA",
        "middle_name": "BETH",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-05",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "RN #70458/ APN #6054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

Verify at the official NPI Registry.