Miss Nikki Dominick Stout, is a
Occupational Therapist based in Maidens, Virginia. Miss Nikki Dominick Stout is licensed to practice in Virginia (license number 0119004666) and her current practice location is
1825 Blackwood Dr, Maidens, Virginia. She can be reached at her office (for appointments etc.) via phone at
(804) 912-0410.
NPI number for Miss Nikki Dominick Stout is 1639549850 and her current mailing address is 1825 Blackwood Dr, Maidens, Virginia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1639549850.
Healthcare Provider's Profile
Full Name | Miss Nikki Dominick Stout |
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Gender | Female |
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Speciality | Occupational Therapist |
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Location | 1825 Blackwood Dr, Maidens, Virginia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1639549850
- Provider Enumeration Date: 09/30/2015
- Last Update Date: 05/09/2023
Medical Identifiers
Medical identifiers for Miss Nikki Dominick Stout such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1639549850 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225X00000X | Occupational Therapist | 0119004666 (Virginia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Miss Nikki Dominick Stout is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Miss Nikki Dominick Stout, 1825 Blackwood Dr, Maidens, VA 23102-2526 Ph: () - | Miss Nikki Dominick Stout, 1825 Blackwood Dr, Maidens, VA 23102-2526 Ph: (804) 912-0410 |
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