Nicole Kristen Bazinet, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

11596 Issued in NC

Practice address

710 N Person St Apt 206
Raleigh, NC 27604-1284

Phone

(781) 864-3569

NPI assigned

Jan 30, 2009

Last updated

Aug 1, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Bwellbaby LLC

  • Occupational Therapist
  • Raleigh, NC
  • NPI 1518737022
  NPD Authorized official

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

{
    "created_epoch": "1233273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1457599219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 N PERSON ST APT 206",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276041284",
            "telephone_number": "781-864-3569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 N PERSON ST APT 206",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276041284",
            "telephone_number": "781-864-3569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAZINET",
        "first_name": "NICOLE",
        "middle_name": "KRISTEN",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-30",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": "L-314949",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "11596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela H Baylis, D.C.
• Orion Monique Baylor
• Hannah Katherine Bayne
• Bazemore and Associates
• Jillian Braaten Bazemore, LPC
• BCC North Ridge Operations, LLC
• BCM Southeast Enterprises, LLC (ASP Medical Transport)
• Be Aligned Chiropractic PC
• Be Well Home Care, Inc.
• Be Welling Therapy

• Occupational Therapist in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Occupational Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; 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.