Active NPI
Sophie Clarke Purke, CNS
- Nutritionist
- Fort Worth, TX
National Provider Identifier
1821942392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- License
- 19215
- Practice address
- 1624 Enderly PL
Fort Worth, TX 76104-4120 - Phone
- (817) 301-9700
- NPI assigned
- Feb 23, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | 19215 | TX | Primary |
Addresses
Primary practice location
1624 Enderly PL
Fort Worth, TX 76104-4120
Mailing address
3704 Tumbling Trail CT
Fort Worth, TX 76116-9328
Phone (817) 505-9220
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
- Certified Nurse Specialist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19215 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1771804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771804800000",
"number": "1821942392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3704 TUMBLING TRAIL CT",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761169328",
"telephone_number": "817-505-9220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1624 ENDERLY PL",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761044120",
"telephone_number": "817-301-9700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PURKE",
"first_name": "SOPHIE",
"middle_name": "CLARKE",
"credential": "CNS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-02-23",
"last_updated": "2026-02-23",
"certification_date": "2026-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "TX",
"license": "19215",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.