Community Intensive Care, Inc. · Nurse Practitioner

30 Winter St, Boston, MA 02108-4720

Overview

Community Intensive Care, Inc. is a Nurse Practitioner (organization) practicing in Boston, Massachusetts. The National Provider Identifier (NPI) is #1497537666, which was assigned on October 20, 2023, and the registration record was last updated on November 28, 2025. The practitioner's main practice location is at 30 Winter St, Boston, MA 02108-4720; the contact telephone number is 6174260600. The primary taxonomy of Community Intensive Care, Inc. is Nurse Practitioner (363L00000X). The authorized official for Community Intensive Care, Inc. is Biljana Simikic (Sr. Medical Director, Care Delivery).

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Provider Information

NPI 1497537666
Entity Type Organization
Organization Name COMMUNITY INTENSIVE CARE, INC.
Provider Name COMMUNITY INTENSIVE CARE, INC.
Practice Address 30 Winter St
Boston
MA 02108-4720
Practice Telephone 6174260600
Mailing Address 30 Winter St
Boston
MA 02108-4720
Certification Date 2025-11-28
Enumeration Date 2023-10-20
Last Update Date 2025-11-28
Is Organization Subpart N

Authorized Official Information

Official Name BILJANA SIMIKIC
Official Title SR. MEDICAL DIRECTOR, CARE DELIVERY
Telephone 4138587400

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
N208D00000XGeneral Practice193200000X MULTI-SPECIALTY GROUP
N1041C0700XSocial WorkerClinical193200000X MULTI-SPECIALTY GROUP
N163W00000XRegistered Nurse193200000X MULTI-SPECIALTY GROUP
N164W00000XLicensed Practical Nurse193200000X MULTI-SPECIALTY GROUP
N172V00000XCommunity Health Worker193200000X MULTI-SPECIALTY GROUP
Y363L00000XNurse Practitioner193200000X MULTI-SPECIALTY GROUP

Taxonomy Information

Primary Taxonomy

Code 363L00000X
Taxonomy Nurse Practitioner
Classification Nurse Practitioner
Grouping Physician Assistants & Advanced Practice Nursing Providers
Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses' Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Other Taxonomy

Code 208D00000X
Taxonomy General Practice Physician
Classification General Practice
Grouping Allopathic & Osteopathic Physicians
Definition: Definition to come...

Other Taxonomy

Code 1041C0700X
Taxonomy Clinical Social Worker
Classification Social Worker
Specialization Clinical
Grouping Behavioral Health & Social Service Providers
Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified]

Other Taxonomy

Code 163W00000X
Taxonomy Registered Nurse
Classification Registered Nurse
Grouping Nursing Service Providers
Definition: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

Other Taxonomy

Code 164W00000X
Taxonomy Licensed Practical Nurse
Classification Licensed Practical Nurse
Grouping Nursing Service Providers
Definition: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

Other Taxonomy

Code 172V00000X
Taxonomy Community Health Worker
Classification Community Health Worker
Grouping Other Service Providers
Definition: Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, "promotores(as), outreach educators, community health representatives, peer health promoters, and peer health educators. CHWs offer interpretation and translation services, provide culturally appropriate health education and information, assist people in receiving the care they need, give informal counseling and guidance on health behaviors, advocate for individual and community health needs, and provide some direct services such as first aid and blood pressure screening. Some examples of these practitioners are Community Health Aides or Practitioners established under 25 USC 1616 (l) under HHS, Indian Health Service, Public Health Service.
Notes: Source: Health Resources and Services Administration, US Department of Health and Human Services - National Workforce Study on Community Health Workers, March, 2007. [7/1/2007: new] http://bhpr.hrsa.gov/healthworkforce/chw/

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Location Information

Street Address 30 WINTER ST
City BOSTON
State MA
Zip Code 02108-4720
Country US

Providers in the same location

Provider NameAddressTaxonomyEnumeration Date
Kar-Ho Yu 30 Winter St, Framingham, MA 01702-2430Acupuncturist2009-10-15
Zelys Yiseirie Adorno 30 Winter St, Boston, MA 02108-4720Pharmacist2014-05-05
Lindsey Marie Broussard 30 Winter St, Boston, MA 02108-4720Community Health Registered Nurse2021-09-10
Thomas James Delaney Jr. 30 Winter St, 3rd Floor, Boston, MA 02108-4720Social Worker2007-05-01
Commonwealth Care Alliance, Inc. 30 Winter St, Boston, MA 02108-4720Exclusive Provider Organization2014-11-07
Amparo Velasquez 30 Winter St, Boston, MA 02108-4720Addiction (Substance Use Disorder) Counselor2011-04-04
Andrew Mendonsa 30 Winter St, Boston, MA 02108-4720Registered Nurse2019-08-23
Lady-Thelma W Bolduc 30 Winter St, Boston, MA 02108-4720Case Manager/Care Coordinator2010-07-08
Robin Alsarras 30 Winter St, Boston, MA 02108-4720Registered Nurse2020-10-08
Cara Beth Cavazza · Cara Beth Camp 30 Winter St, Boston, MA 02108-4720Nurse Practitioner2010-11-08
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Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Gerardo A Yanayaco Laser Hair Removal, LLC, 333 Washington Street, #221, Boston, MA 02108Internal Medicine Physician2007-02-28
Eleanor Hager Temelini 15 Court Square, Suite 830, Boston, MA 02108Clinical Social Worker2007-02-21
Lynda D. Field Suffolk University Counseling Center, 73 Tremont St., 5th Floor, Boston, MA 02108Clinical Child & Adolescent Psychologist2007-05-10
Ronald Tae Lee One Boston Place, 201 Washington Street, Ste 2679, Boston, MA 02108Student in an Organized Health Care Education/Training Program2008-10-28
Lawrence K Gottlieb Intermed Advisors Inc., One Boston Place, Suite 2815, Boston, MA 02108Internal Medicine Physician2007-04-13
William F Sullivan Adcare, 14 Beacon Street, 801, Boston, MA 02108Addiction (Substance Use Disorder) Counselor2007-02-28
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.