Sophia Nichole Greaves, MA, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

294375 Issued in KY

Practice address

198 Old Symsonia Rd
Benton, KY 42025-2516

Phone

(270) 533-3087

NPI assigned

Jul 1, 2024

Last updated

Jul 10, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1719792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1942046826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 WADESBORO RD",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420031074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "198 OLD SYMSONIA RD",
            "city": "BENTON",
            "state": "KY",
            "postal_code": "420252516",
            "telephone_number": "270-533-3087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREAVES",
        "first_name": "SOPHIA",
        "middle_name": "NICHOLE",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-01",
        "last_updated": "2025-07-10",
        "certification_date": "2025-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "294375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rhonda Goins, RPH
• Goldsboro Surgical Associates, PA
• Toni Shantel Gordon-Bailey, APRN
• Michael D Gordon, APRN
• Ashley Graham
• Mindy Leigh Green, PTA
• Timothy Greene
• Hall Family Dental, PLLC
• Jade Alisha Hall, PTA
• Kim M Hall, MD

• Speech-Language Pathologist in Benton, KY
• Providers in Benton, KY by specialty
• Speech-Language Pathologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2025; 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.