Nicole Lyn Carmo, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

3102 Issued in MA

Practice address

127 Brooklawn St
New Bedford, MA 02745-5630

Phone

(508) 958-9567

NPI assigned

Jul 28, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Nicole Lyn Medeiros Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1406505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406505600000",
    "number": "1346658846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 BROOKLAWN ST",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027455630",
            "telephone_number": "508-958-9567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 BROOKLAWN ST",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027455630",
            "telephone_number": "508-958-9567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARMO",
        "first_name": "NICOLE",
        "middle_name": "LYN",
        "name_prefix": "Mrs.",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-28",
        "last_updated": "2014-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MA",
            "license": "3102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "MEDEIROS",
            "middle_name": "LYN",
            "prefix": "MS.",
            "credential": "COTA/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amy M Carey, FNP
• Michelle Ann Carey, CRNA
• Ryan Patrick Carey
• Julie Ann Carlson
• Stephanie Margaret Carlson
• Erica Caron-Afonso, LICSW
• Audrey Anne Carr, BA
• Jean Carr
• Jennifer Carr
• Elizabeth Carreiro

• Occupational Therapy Assistant in New Bedford, MA
• Providers in New Bedford, MA by specialty
• Occupational Therapy Assistant in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2014; 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.