Active NPI
Cara Cole
- Sports Medicine (Preventive Medicine) Physician
- Billerica, MA
National Provider Identifier
1295319549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Preventive Medicine) Physician
- License
- 2578
- Practice address
- 464 Middlesex Tpke
Billerica, MA 01821-3522 - Phone
- (781) 414-1052
- NPI assigned
- May 11, 2021
- Last updated
- May 11, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Preventive Medicine) Physician | 2083S0010X | 2578 | MA | Primary |
Addresses
Primary practice location
464 Middlesex Tpke
Billerica, MA 01821-3522
Mailing address
464 Middlesex Tpke
Billerica, MA 01821-3522
Phone (781) 414-1052
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2578 | Other | MA | ATHLETIC TRAINER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2578 | MA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620691200000",
"number": "1295319549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "464 MIDDLESEX TPKE",
"city": "BILLERICA",
"state": "MA",
"postal_code": "018213522",
"telephone_number": "781-414-1052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "464 MIDDLESEX TPKE",
"city": "BILLERICA",
"state": "MA",
"postal_code": "018213522",
"telephone_number": "781-414-1052"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLE",
"first_name": "CARA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-05-11",
"last_updated": "2021-05-11",
"certification_date": "2021-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "2083S0010X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Sports Medicine",
"state": "MA",
"license": "2578",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ATHLETIC TRAINER",
"identifier": "2578",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Billerica, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.