Nicole Mariah Dobson

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2204000006 Issued in VA

Practice address

9524 Old Creek Dr
Fairfax, VA 22032-1238

Phone

(703) 426-3100

NPI assigned

Feb 20, 2018

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

State licenses

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

{
    "created_epoch": "1519084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519084800000",
    "number": "1710487343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8270 WILLOW OAKS CORPORATE DR STE 2131",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314511",
            "telephone_number": "571-423-4163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9524 OLD CREEK DR",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220321238",
            "telephone_number": "703-426-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOBSON",
        "first_name": "NICOLE",
        "middle_name": "MARIAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-20",
        "last_updated": "2018-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2204000006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• DKDC Merrifield PLLC
• Kim Quy DO, DDS
• Thang Van DO, DC
• Thanh Minh DO, D.O.
• Minh-Phuong Lu Doan, MD
• Doctor Halper & Associates
• Doctor'S Hearing Center, Inc.
• Jennifer Rose Dodson, LPC, ATR-BC
• Krisann S W Dodson, LCSW
• Edwin Chester Doe Jr., M.D.

• Speech-Language Pathologist in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Speech-Language Pathologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2018; 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.