MS. NICOLE TRAYLOR BARE


Address: 2401 Wayne Memorial Dr, Goldsboro, NC 27534-1727
Phone: 9197367093

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 2401 WAYNE MEMORIAL DR
City GOLDSBORO
State NC
Zip Code 27534-1727

Providers in the same location

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
Find all providers in the same location

Providers in the same zip code

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 Information

Taxonomy Code 224Z00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Occupational Therapy Assistant

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
Find all providers in GOLDSBORO

Competitor

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City GOLDSBORO
Zip Code 27534

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Dataset Information

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.

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