Individual provider Active NPI

Sophi Dolor Hinks, M.S. SLP

  • Speech-Language Pathologist
  • Rocklin, CA
National Provider Identifier
1669294922
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
16987 Issued in CA
Practice address
575 Menlo Dr Ste 2
Rocklin, CA 95765-3709
Phone
(916) 287-1914
NPI assigned
Oct 28, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 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 16987 CA Primary

Addresses

Primary practice location

575 Menlo Dr Ste 2
Rocklin, CA 95765-3709

Mailing address

1110 Acorn LN
Rocklin, CA 95765-5587

Other names 1

  • Sophi Dolor Wong Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
16987CAMDSpeech-Language Pathologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1730073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1669294922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 ACORN LN",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "957655587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 MENLO DR STE 2",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "957653709",
            "telephone_number": "916-287-1914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINKS",
        "first_name": "SOPHI",
        "middle_name": "DOLOR",
        "credential": "M.S. SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-28",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "16987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SOPHI",
            "last_name": "WONG",
            "middle_name": "DOLOR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rocklin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.