Nicole Brower

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

102 W Beaton Dr Ste 105
West Fargo, ND 58078-2653

Phone

(701) 205-4194

NPI assigned

Jun 3, 2020

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

Other names 1

• Nicole Berdal Former name

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Group practices

Myna Therapy Services PLLCGroup PAC ID 8022499888, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Myna Therapy Services PLLC

  • Multi-Specialty Clinic/Center
  • Fargo, ND
  • NPI 1427788629

  Speech-Language Pathologist

  Medicare reassignment Care Compare group NPD
• Great Kids Therapy, LTD

  • Occupational Therapist
  • Fargo, ND
  • NPI 1558743013
  Medicare reassignment
• Great Kids Therapy, LTD.

  • Occupational Therapist
  • Fargo, ND
  • NPI 1497805196

  Speech-Language Pathologist

  NPD
• Myna Early Intervention LLC

  • Early Intervention Provider Agency
  • Fargo, ND
  • NPI 1639981343
  NPD
• Kids in Motion Inc

  • Physical Therapy Clinic/Center
  • Mandan, ND
  • NPI 1649736422
  NPD (past)

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

{
    "created_epoch": "1591142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674086400000",
    "number": "1770107054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 W BEATON DR STE 105",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580782653",
            "telephone_number": "701-205-4194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 W BEATON DR STE 105",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580782653",
            "telephone_number": "701-205-4194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWER",
        "first_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-03",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "BERDAL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Susan Lynn Brenan, R.PH.
• Bridging the Gap
• Erika Rae Briggs, OTR/L
• Brighter Care LLC
• Shea Brogren, OTR
• Abigail Brown
• Rachelle Brown, MS, LAPC
• Bruce L. Redington, D.C.
• Casey L Brudvik
• Carla Buchholz

• Speech-Language Pathologist in West Fargo, ND
• Providers in West Fargo, ND by specialty
• Speech-Language Pathologist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.