Organization Active NPI

Caron Bixby LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Beverly, MA
National Provider Identifier
1275137366
Registry record updated Nov 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
CARON BIXBY LLC
Practice address
100 Cummings Ctr Ste 333a
Beverly, MA 01915-6195
Phone
(978) 382-7250
Fax
(949) 561-4093
NPI assigned
Nov 30, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2020

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

Authorized official

Name
Ms. Caron A Bixby, NP
Title
Authorized Official/Owner
Phone
(978) 609-2235

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

100 Cummings Ctr Ste 333a
Beverly, MA 01915-6195

Mailing address

100 Cummings Ctr Ste 333a
Beverly, MA 01915-6195
Phone (978) 382-7250

National Provider Directory

National Provider Directory

Locations

100 Cummings Ctr
Ste 333A
Beverly, MA 01915
Phone (978) 382-7250

NPI Registry JSON

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

{
    "created_epoch": "1606694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606694400000",
    "number": "1275137366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CUMMINGS CTR STE 333A",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019156195",
            "telephone_number": "978-382-7250",
            "fax_number": "949-561-4093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CUMMINGS CTR STE 333A",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019156195",
            "telephone_number": "978-382-7250",
            "fax_number": "949-561-4093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARON BIXBY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-30",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A",
        "authorized_official_last_name": "BIXBY",
        "authorized_official_first_name": "CARON",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL/OWNER",
        "authorized_official_telephone_number": "978-609-2235",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2020; 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.