MS. NICOLE TRAYLOR BARE (NPI# 1063679025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063679025 |
Entity Type | Individual |
Full Name | MS. NICOLE TRAYLOR BARE |
Credential | COTA/L-RN |
Practice Address |
2401 Wayne Memorial Dr Goldsboro NC 27534-1727 |
Mailing Address |
203 King James Way Pikeville NC 27863-8398 |
Practice Telephone | 9197367093 |
Mailing Telephone | 2525608947 |
Enumeration Date | 2008-05-19 |
Last Update Date | 2014-01-06 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163W00000X | Registered Nurse | 188234 | NC | Nursing Service Providers |
Y | 224Z00000X | Occupational Therapy Assistant | 3363 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
2401 WAYNE MEMORIAL DR |
City | GOLDSBORO |
State | NC |
Zip Code | 27534-1727 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538169065 | Robert Carl Owens | Internal Medicine | 2401 Wayne Memorial Dr, Goldsboro, NC 27534-1727 | 2005-07-27 |
1528534096 | Jordan A Atkins | Speech-Language Pathologist | 2401 Wayne Memorial Dr, Goldsboro, NC 27534-1727 | 2018-10-22 |
1285115220 | Sayali Ravindra More | Physical Therapist | 2401 Wayne Memorial Dr, Goldsboro, NC 27534-1727 | 2018-08-28 |
1003397662 | Elissa Alexander | Speech-Language Pathologist | 2401 Wayne Memorial Dr, Goldsboro, NC 27534-1727 | 2018-08-22 |
1861927790 | Susan Vermette | Clinic/Center | 2401 Wayne Memorial Dr, Goldsboro, NC 27534-1727 | 2017-04-28 |
1568626059 | Jeffrey Boyette | Speech-Language Pathologist | 2401 Wayne Memorial Dr, Goldsboro, NORTH CAROLINA 27534 | 2008-07-14 |
1730348277 | Donald Wells | Physical Therapy Assistant | 2401 Wayne Memorial Dr, Goldsboro, NC 27534-1727 | 2008-06-09 |
1114185592 | Gail Feurer | Physical Therapy Assistant | 2401 Wayne Memorial Dr, Goldsboro, NC 27534-1727 | 2008-06-02 |
1801054614 | Emily Head Ange | Physical Therapist | 2401 Wayne Memorial Dr, Goldsboro, NC 27534-1727 | 2008-05-29 |
1891962023 | April Hall | Occupational Therapy Assistant | 2401 Wayne Memorial Dr, Goldsboro, NC 27534-1727 | 2008-05-16 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457875767 | Trent Jonathan Forshey | Physical Therapist | 2126 Wayne Memorial Dr, Goldsboro, NC 27534 | 2017-07-28 |
1336685551 | Wayne Al Holdings, LLC | Assisted Living Facility | 901 West New Hope Rd, Goldsboro, NC 27534 | 2017-01-11 |
1952845471 | Latoya Faulk | Social Worker | 121 Carolina Forest Drive, Goldsboro, NC 27534 | 2016-12-19 |
1528415841 | Kelby Joseph Sage Durnin | Military Health Care Provider | 1020 Jabara Avenue, Seymour Johnson Afb, NC 27534 | 2016-05-17 |
1528490604 | Eric Christian Bourgeois | Physical Therapist | 1101a Gracie Pl, Goldsboro, NC 27534 | 2013-07-31 |
1831439165 | Erica Nicole Davis | Optometrist | 20/20 Vision Center 625 North Berkeley Blvd, Suite D, Goldsboro, NC 27534 | 2013-02-23 |
1891039236 | Betty Webb Zimmerman | Nurse Practitioner | 204 Cox Blvd, Goldsboro, NC 27534 | 2012-11-26 |
1144595265 | Life Recovery Psychological Services | Counselor | 1202-c Wayne Memorial Dr, Goldsboro, NC 27534 | 2012-03-22 |
1558596536 | Taylor Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 802 Taylor St, Goldsboro, NC 27534 | 2009-05-20 |
1780895136 | Sherrie Fennell Edwards | Dietitian, Registered | 1500 Lanely Ave., Seymour Johnson Afb, Golsboro, NC 27534 | 2007-05-25 |
Find all providers in zip 27534 |
Taxonomy Code | 224Z00000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Occupational Therapy Assistant |
An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examination for occupational therapy assistants, and fulfills state requirements for licensure, certification, or registration. An occupational therapy assistant provides interventions under the supervision of an occupational therapist which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapy assistants address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, source changed] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407245673 | Linwood Lambert | Occupational Therapy Assistant | 139 Hicks Rd, Goldsboro, NC 27530-5430 | 2015-01-12 |
1104030071 | Mindy Lauren Rouse | Occupational Therapy Assistant | 380 Country Day Rd, Goldsboro, NC 27530-8857 | 2007-05-10 |
1770625451 | Wayne County Schools | Occupational Therapy Assistant | 2001 Royall Ave, Goldsboro, NC 27534-7407 | 2007-02-12 |
1699236646 | Ashlyn Whitley | Occupational Therapy Assistant | 1700 Wayne Memorial Dr, Goldsboro, NC 27534-2240 | 2019-03-30 |
1073886537 | Amy Marie Nolte | Occupational Therapy Assistant | 380 Country Day Rd, Goldsboro, NC 27530-8857 | 2012-02-14 |
1891962023 | April Hall | Occupational Therapy Assistant | 2401 Wayne Memorial Dr, Goldsboro, NC 27534-1727 | 2008-05-16 |
1114194388 | Jamie K Wilson | Occupational Therapy Assistant | 2401 Wayne Memorial Dr, Goldsboro, NC 27534-1727 | 2008-05-15 |
1770752636 | Kim Louise Kline | Occupational Therapy Assistant | 380 Country Day Rd, Goldsboro, NC 27530-8857 | 2008-02-25 |
1669554291 | Nancy S Fields | Occupational Therapy Assistant | 201 Stevens Mill Rd, Goldsboro, NC 27530-1056 | 2006-10-20 |
1265514707 | Lisa B Smith | Occupational Therapy Assistant | 201 Stevens Mill Rd, Goldsboro, NC 27530-1056 | 2006-10-20 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.