Individual provider Active NPI

Nikia Rae Dower, MS CCC SLP BCBA LBA

  • Speech-Language Pathologist
  • Manassas, VA
National Provider Identifier
1194843631
Registry record updated Jan 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2202001282 Issued in VA
Practice address
9845 Business Way
Manassas, VA 20110-4152
Phone
(703) 618-6180
Fax
(703) 542-3206
NPI assigned
Mar 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2202001282 VA Primary
Behavior Analyst 103K00000X 0133000035 VA

Addresses

Primary practice location

9845 Business Way
Manassas, VA 20110-4152

Mailing address

9845 Business Way
Manassas, VA 20110-4152
Phone (703) 618-6180

Other identifiers 4

IdentifierTypeStateIssuer
0133000035OtherVALICENSED BEHAVIOR ANALYST - VIRGINIA BOARD OF MEDICINE
01032747OtherASHA CCC
1052204OtherBCBA CERTIFICATION
2202001282OtherVAVA SLP LICENSE

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
0133000035VAMDBehavioral Analyst
2202001282VAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452470400000",
    "number": "1194843631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9845 BUSINESS WAY",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104152",
            "telephone_number": "703-618-6180",
            "fax_number": "703-542-3206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9845 BUSINESS WAY",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104152",
            "telephone_number": "703-618-6180",
            "fax_number": "703-542-3206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOWER",
        "first_name": "NIKIA",
        "middle_name": "RAE",
        "credential": "MS CCC SLP BCBA LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2016-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202001282",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "VA",
            "license": "0133000035",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED BEHAVIOR ANALYST - VIRGINIA BOARD OF MEDICINE",
            "identifier": "0133000035",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHA CCC",
            "identifier": "01032747",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBA CERTIFICATION",
            "identifier": "1052204",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VA SLP LICENSE",
            "identifier": "2202001282",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manassas, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2016; 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.