Individual provider Active NPI

Carol Vivori, CNP

  • Adult Psychiatric/Mental Health Clinical Nurse Specialist
  • North Adams, MA
National Provider Identifier
1255722716
Registry record updated Jan 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X
License
RN230503 Issued in MA
Practice address
132 Mass Moca Way
North Adams, MA 01247-2446
Phone
(413) 664-4600
Fax
(413) 664-4660
NPI assigned
Feb 5, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Clinical Nurse Specialist 364SP0809X RN230503 MA Primary

Addresses

Primary practice location

132 Mass Moca Way
North Adams, MA 01247-2446

Mailing address

132 Mass Moca Way
North Adams, MA 01247-2446
Phone (413) 664-4600

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150417001154 MA Practitioner - Nurse Practitioner 4688992803 Practice locations: North Adams, MA

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

132 Mass Moca Way
North Adams, MA 01247-2446

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1423094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452211200000",
    "number": "1255722716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 MASS MOCA WAY",
            "city": "NORTH ADAMS",
            "state": "MA",
            "postal_code": "012472446",
            "telephone_number": "413-664-4600",
            "fax_number": "413-664-4660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 MASS MOCA WAY",
            "city": "NORTH ADAMS",
            "state": "MA",
            "postal_code": "012472446",
            "telephone_number": "413-664-4600",
            "fax_number": "413-664-4660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIVORI",
        "first_name": "CAROL",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-05",
        "last_updated": "2016-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "MA",
            "license": "RN230503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Adams, MA

Sources for this page

Verify at the official NPI Registry.