Individual provider Active NPI

Amy E Carpenter, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Newport, VT
National Provider Identifier
1033793989
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
101.0137375 Issued in VT
Practice address
79 Coventry St
Newport, VT 05855-2206
Phone
(833) 952-0829
NPI assigned
May 7, 2021
Last updated
Oct 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 101.0137375 VT Primary

Addresses

Primary practice location

79 Coventry St
Newport, VT 05855-2206

Mailing address

PO Box 291943
525 Royal Parkway
Nashville, TN 37229
Phone (833) 952-0829

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241106000817 VT Practitioner - Nurse Practitioner 1153758461 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Savida Health PCGroup PAC ID 4082809967, 89 clinicians

Practice addresses (Care Compare)

79 Coventry St
Newport, VT 05855-2206
Phone (833) 952-0829

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
101.0137375VTMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Savida Health, PC CurrentSince Oct 30, 2024 Accepting new patients
Savida Health, PC Current Accepting new patients
Savida Health, PC CurrentSince Oct 30, 2024 Accepting new patients
Connecticut Valley Addiction Recovery, Inc CurrentSince Jul 15, 2026 Accepting new patients

Locations

655 Main St
Ste 2
Bennington, VT 05201
Phone (802) 448-5105

79 Coventry St
Newport, VT 05855
Phone (802) 334-5822

220 Holiday Dr
Ste A
White River Junction, VT 05001
Phone (802) 281-6364

Interoperability endpoints

  • Direct secure messaging: amy.carpenter.1@24804.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1620345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1033793989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 291943",
            "address_2": "525 ROYAL PARKWAY",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "37229",
            "telephone_number": "833-952-0829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 COVENTRY ST",
            "city": "NEWPORT",
            "state": "VT",
            "postal_code": "058552206",
            "telephone_number": "833-952-0829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARPENTER",
        "first_name": "AMY",
        "middle_name": "E",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-07",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VT",
            "license": "101.0137375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport, VT

Sources for this page

Verify at the official NPI Registry.