Nicole Traylor Bare, COTA/L-RN

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

3363 Issued in NC

Practice address

2401 Wayne Memorial Dr
Goldsboro, NC 27534-1727

Phone

(919) 736-7093

NPI assigned

May 19, 2008

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

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": "1211155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388966400000",
    "number": "1063679025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 KING JAMES WAY",
            "city": "PIKEVILLE",
            "state": "NC",
            "postal_code": "278638398",
            "telephone_number": "252-560-8947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 WAYNE MEMORIAL DR",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275341727",
            "telephone_number": "919-736-7093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARE",
        "first_name": "NICOLE",
        "middle_name": "TRAYLOR",
        "name_prefix": "Ms.",
        "credential": "COTA/L-RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-19",
        "last_updated": "2014-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "188234",
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NC",
            "license": "3363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shatrice Pelar Baker
• Munira Baldiwala, D.D.S.
• Benjamin James Baldwin
• Frances Maureen Ballentine, CPNP
• Barbaro and Associates PLLC
• Ashleigh Victoria Barfield, MS, RD, LDN
• Debra H Barfield
• Kali Williams Barley, R.D.
• Barnes Family Care Home .Inc
• Akira Chanel Barnes

• Occupational Therapy Assistant in Goldsboro, NC
• Providers in Goldsboro, NC by specialty
• Occupational Therapy Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2014; 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.