Active NPI
Nikki Rose Holway, M.ED.
- Behavior Analyst
- Vienna, VA
National Provider Identifier
1215228580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- PRSE-0002134
- Practice address
- 1604 Spring Hill Rd
Suite 310
Vienna, VA 22182-7510 - Phone
- (703) 546-8594
- NPI assigned
- Apr 21, 2011
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | PRSE-0002134 | VA | Primary |
Addresses
Primary practice location
1604 Spring Hill Rd
Suite 310
Vienna, VA 22182-7510
Mailing address
5290 Duke St
Apt. 218
Alexandria, VA 22304-2933
Phone (724) 787-9077
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 Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PRSE-0002134 | VA | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303344000000",
"number": "1215228580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5290 DUKE ST",
"address_2": "APT. 218",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223042933",
"telephone_number": "724-787-9077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1604 SPRING HILL RD",
"address_2": "SUITE 310",
"city": "VIENNA",
"state": "VA",
"postal_code": "221827510",
"telephone_number": "703-546-8594"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLWAY",
"first_name": "NIKKI",
"middle_name": "ROSE",
"credential": "M.ED.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-21",
"last_updated": "2011-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "VA",
"license": "PRSE-0002134",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vienna, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.