Individual provider Active NPI

Thoma Jolette Parker, PHD CCC-SLP

  • Speech-Language Pathologist
  • Nashville, TN
National Provider Identifier
1841763794
Registry record updated Jan 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
930 Issued in TN
Practice address
414 Rosedale Ave Apt 210
Nashville, TN 37211-2199
Phone
(615) 210-4664
NPI assigned
Jan 3, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Home Administrator 376G00000X 3311 TN
Speech-Language Pathologist 235Z00000X 930 TN Primary

Addresses

Primary practice location

414 Rosedale Ave Apt 210
Nashville, TN 37211-2199

Mailing address

414 Rosedale Ave Apt 210
Nashville, TN 37211-2199
Phone (615) 210-4664

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260215000211 NC Practitioner - Qualified Speech Language Pathologist 0345720728 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Broad River RehabilitationGroup PAC ID 3375801350, 210 clinicians

Practice addresses (Care Compare)

2045 Ward Blvd
Wilson, NC 27893-2873
Phone (828) 774-5222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
930TNMDClinical Social Worker
13941NCMDPharmacist
3311TNMDNursing Home Administrator

Practice roles

OrganizationSpecialtyStatusNew patients
Broad River Rehabilitation Speech-Language Pathologist CurrentSince Jan 23, 2026 Accepting new patients

Locations

1 Pond St
Arden, NC 28704
Phone 82877452220027

915 W Cooksey Dr
Thomasville, NC 27360
Phone (336) 313-0224

2045 Ward Blvd
Wilson, NC 27893
Phone (252) 234-2100

Organizations & group practices 1

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": "1546473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546473600000",
    "number": "1841763794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 ROSEDALE AVE APT 210",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372112199",
            "telephone_number": "615-210-4664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 ROSEDALE AVE APT 210",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372112199",
            "telephone_number": "615-210-4664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "THOMA",
        "middle_name": "JOLETTE",
        "name_prefix": "Dr.",
        "credential": "PHD CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-03",
        "last_updated": "2019-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376G00000X",
            "taxonomy_group": "",
            "desc": "Nursing Home Administrator",
            "state": "TN",
            "license": "3311",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2019; 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.