Samantha Kane Eagle, N.D., M.S.
Individual provider Active NPI Naturopath · Brattleboro, VT
NPI 1013198555 · NPPES record last updated May 2, 2014
Key facts
- NPI
- 1013198555
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Naturopath 175F00000X
- License
- 099-0000215 (VT)
- Practice address
- 205 Main St
2ND Floor, Suite 4
Brattleboro, VT 05301-2867 - Phone
- (802) 275-4732
- Fax
- (802) 275-4738
- NPI assigned
- Nov 26, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 099-0000215 | VT | MD | Naturopath |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Biologic Integrative Healthcare LLC | Past |
Accepting new patients |
Interoperability endpoints
- dr.eagle@bihl-vt.direct.office.nextgen.com
- https://fhir.meditouchehr.com/api/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath | 175F00000X | 099-0000215 | VT | Yes |
Addresses
Primary practice location
205 Main St
2ND Floor, Suite 4
Brattleboro, VT 05301-2867
Mailing address
205 Main St
2ND Floor, Suite 4
Brattleboro, VT 05301-2867
Phone (802) 275-4732
Other providers in Brattleboro, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 2, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.