Kari Cretella Nickou, RN, MSN,CS

Primary specialty

Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X

License

RN169922 Issued in MA

Practice address

21 Pleasant St
Newburyport, MA 01950-2619

Phone

(508) 843-1801

NPI assigned

Jun 3, 2006

Last updated

Oct 23, 2017By the provider in NPPES

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 identifiers 1

Other names 1

• Kari Cretella Nickou Other name

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Certified Clinical Nurse Specialist (CNS)

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist, Master of Science - Nursing, Registered Nurse

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Boston University Psychiatry Associates, Inc.

  • Psychiatry Physician
  • Boston, MA
  • NPI 1073619854
  Medicare reassignment NPD
• Gross Young Enterprises, Inc

  dba Leni Gross Young, MA, LMHC

  • Mental Health Counselor
  • Peabody, MA
  • NPI 1891017430
  NPD (past)

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508716800000",
    "number": "1255379103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 BOSTON RD",
            "city": "NEWBURY",
            "state": "MA",
            "postal_code": "019511602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 PLEASANT ST",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019502619",
            "telephone_number": "508-843-1801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRETELLA NICKOU",
        "first_name": "KARI",
        "name_prefix": "Ms.",
        "credential": "RN, MSN,CS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-03",
        "last_updated": "2017-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "MA",
            "license": "RN169922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110110173A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARI",
            "last_name": "CRETELLA NICKOU",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Susan Cooper
• Costello Psychotherapy PLLC
• Anthony Michael Costello, LMFT
• Matthew Cote, M.D.
• Holly R. Counts Vanhoose, PSY.D.
• Pamela Cronin, PHARMACIST
• James F. Cropper, BS,MS,JD
• Melinda Grey Crossman, MSW, LICSW
• Crossover Health Medical Group
• Maureen M. Cullen, NP

• Adult Psychiatric/Mental Health Clinical Nurse Specialist in Newburyport, MA
• Providers in Newburyport, MA by specialty
• Adult Psychiatric/Mental Health Clinical Nurse Specialist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.