Active NPI
Caron Bixby LLC
- Psychiatric/Mental Health Nurse Practitioner
- Beverly, MA
National Provider Identifier
1275137366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 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 DirectoryLocations
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.