Creating Independence OT and Nursing LLC

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

CREATING INDEPENDENCE OT AND NURSING LLC

Practice address

65 Dodge St Unit C
Beverly, MA 01915-1700

Phone

(978) 406-9664

NPI assigned

Dec 23, 2024

Organization subpart

No

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

Authorized official

Name

Mrs. Nicole Ann Brown, FNP-C, OTR/L

Title

Owner

Phone

(781) 879-0917

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1734912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734912000000",
    "number": "1891503801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 BLUEBERRY LN",
            "city": "SOUTH HAMILTON",
            "state": "MA",
            "postal_code": "019821204",
            "telephone_number": "781-879-0917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 DODGE ST UNIT C",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019151700",
            "telephone_number": "978-406-9664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATING INDEPENDENCE OT AND NURSING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-23",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-22",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-879-0917",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP-C, OTR/L"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Francis Andrew Covino, DPT
• Caroline Cox
• Mireille Coyle, LICSW
• Katie Lambert Craft, MS CCC/SLP
• Dorian Crawford, LICENSED CLINICAL PS
• Ann Creilson
• Bridget Jean Cronin, MS, CCC-SLP
• Nicole Marie Cronin
• Heather Marie Crossen, LICSW
• Guy R Croteau, LICSW

• Nursing Care Agency in Beverly, MA
• Providers in Beverly, MA by specialty
• Nursing Care Agency in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 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.