Nikki Owens
Specialist/Technologist, Athletic Trainer in New York, NY. Individual provider (NPI-1).
NPI number1982147054
StatusActive
Last updated in NPPESMar 9, 2023
Details
- NPI
- 1982147054
- Entity type
- Individual (NPI-1)
- Name
- Nikki Owens
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 22, 2016
- Certification date
- Mar 9, 2023
- Last updated
- Mar 9, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 004252 | NY | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
3959 Broadway Fl 8New York, NY 10032-1559
Phone 609-221-3151
Mailing address
157 Jericho RdSalem, NJ 08079-3117
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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