Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Sophai Thach

Individual provider Family Nurse Practitioner · NPI 1801430442

Sophai Thach is a Nurse Practitioner in Saint Louis, Missouri. Qualified in 2019, 7 years ago. Licensed in Missouri.

Years since qualifying
7
Licensed in
MO
In the registry since
2019

Practice location Address checks out

9717 Landmark Parkway Dr
Saint Louis, MO 63127-1628
Phone: (314) 722-6555
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence F09190892 (MO)

Record details

NPI number1801430442
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 6, 2019
Last updated in NPPESNovember 6, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Not indicated

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