Carolyn Waters Labossiere

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

3320 Issued in MA

Practice address

126 Phoenix Ave
Lowell, MA 01852-4931

Phone

(978) 453-8331

NPI assigned

Jun 17, 2010

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

• Carolyn Ann Waters 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": "1276732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276732800000",
    "number": "1881915544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HIBISCUS WAY",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030623087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 PHOENIX AVE",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018524931",
            "telephone_number": "978-453-8331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABOSSIERE",
        "first_name": "CAROLYN",
        "middle_name": "WATERS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-17",
        "last_updated": "2010-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MA",
            "license": "3320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLYN",
            "last_name": "WATERS",
            "middle_name": "ANN",
            "credential": "OTR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sang H Kwon, MD
• Cyril Benjamin Kwudzo, DMD
• Anna Kyrgias
• Helen Shaver Labadie
• Heather Labbe
• Gregory J Labranche, PHD
• Shirley Kelly Labrecque, PMHNP
• Adam Lacasse, LMHC
• Christine Laclair
• Dennis Lacroix

• Occupational Therapist in Lowell, MA
• Providers in Lowell, MA by specialty
• Occupational Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2010; 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.