Provider Demographics
NPI:1649089731
Name:GASPER, NIKIA NOEL (DSP)
Entity type:Individual
Prefix:
First Name:NIKIA
Middle Name:NOEL
Last Name:GASPER
Suffix:
Gender:F
Credentials:DSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3852 SW ATWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66610-1114
Mailing Address - Country:US
Mailing Address - Phone:785-431-3081
Mailing Address - Fax:
Practice Address - Street 1:511 SW TYLER ST APT 5
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66603-3159
Practice Address - Country:US
Practice Address - Phone:504-608-6612
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-02
Last Update Date:2025-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171W00000XOther Service ProvidersContractorGroup - Single Specialty