Individual provider Active NPI

Sophia Wade

  • Speech-Language Pathologist
  • Mount Juliet, TN
National Provider Identifier
1508615584
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
100 Carrick CT
Mount Juliet, TN 37122-8328
Phone
(505) 688-0093
NPI assigned
May 14, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X Primary

Addresses

Primary practice location

100 Carrick CT
Mount Juliet, TN 37122-8328

Mailing address

100 Carrick CT
Mount Juliet, TN 37122-8328

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, CO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240604004158 TN Practitioner - Qualified Speech Language Pathologist 7214479328 Reassigns benefits to 1 organization
I20251114002635 CO Practitioner - Qualified Speech Language Pathologist 7214479328 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Denver Physical Therapy at HomeGroup PAC ID 9234494766, 16 clinicians

Practice addresses (Care Compare)

Aurora, CO 80018
Phone (720) 473-9791

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8462TNMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Empowerme Rehabilitation, LLC Speech-Language Pathologist CurrentSince May 21, 2024 Accepting new patients
Empowerme Rehabilitation, LLC Speech-Language Pathologist CurrentSince May 21, 2024 Accepting new patients
Denver Physical Therapy at Home CurrentSince Oct 13, 2025 Accepting new patients
Rodrigo D. Rodriguez PastSince Oct 13, 2025 Accepting new patients

Locations

1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723

100 Carrick Ct
Mt Juliet, TN 37122
Phone (505) 688-0093

1020 Charlie Daniels Pkwy
Mt Juliet, TN 37122
Phone (615) 758-4800

Organizations & group practices 4

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": "1715644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715644800000",
    "number": "1508615584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CARRICK CT",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "371228328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CARRICK CT",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "371228328",
            "telephone_number": "505-688-0093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADE",
        "first_name": "SOPHIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-14",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Juliet, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.