Individual provider Active NPI

Nicole Ann Brown, OTR, NP-C

  • Family Nurse Practitioner
  • Danvers, MA
National Provider Identifier
1376747907
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2312063 Issued in MA
Practice address
10 Harbor St Ste 1
Danvers, MA 01923-3390
Phone
(978) 741-0140
NPI assigned
Jun 14, 2007
Last updated
Jul 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 8974 MA
Family Nurse Practitioner 363LF0000X 2312063 MA Primary

Addresses

Primary practice location

10 Harbor St Ste 1
Danvers, MA 01923-3390

Mailing address

65 Dodge St Unit C
Beverly, MA 01915-1700
Phone (781) 879-0917

Other identifiers 2

IdentifierTypeStateIssuer
1074190OtherUS OT REGISTRATION
8974OtherMAOT LICENSE

Other names 1

  • Nicole Ann Levesque Former name

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
I20230123001159 MA Practitioner - Nurse Practitioner 3971547746 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2312063MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Eliot Community Human Services CurrentSince Dec 21, 2022 Accepting new patients
Eliot Community Human Services CurrentSince Dec 21, 2022 Accepting new patients
Elite Physical Therapy, Inc PastSince May 23, 2008 Accepting new patients

Locations

86 Baker Avenue Ext
Ste 100
Concord, MA 01742
Phone (978) 202-4156

10 Harbor St
Ste 1
Danvers, MA 01923
Phone (617) 519-4072

125 Hartwell Ave
Lexington, MA 02421
Phone (781) 734-2060

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1376747907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 DODGE ST UNIT C",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019151700",
            "telephone_number": "781-879-0917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 HARBOR ST STE 1",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019233390",
            "telephone_number": "978-741-0140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "NICOLE",
        "middle_name": "ANN",
        "credential": "OTR, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-14",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MA",
            "license": "8974",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "2312063",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US OT REGISTRATION",
            "identifier": "1074190",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OT LICENSE",
            "identifier": "8974",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "LEVESQUE",
            "middle_name": "ANN",
            "credential": "OTR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Danvers, MA

Sources for this page

Verify at the official NPI Registry.