Samantha Peabody, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

101.0136620 Issued in VT

Practice address

75 Linden St
Brattleboro, VT 05301-4800

Phone

(802) 275-3751

NPI assigned

Oct 11, 2023

Last updated

Oct 11, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Brattleboro RetreatGroup PAC ID 7012828908, 61 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Brattleboro Retreat

  • Psychiatric Hospital
  • Brattleboro, VT
  • NPI 1730185232
  Medicare reassignment Care Compare group NPD
• Brattleboro Retreat

  dba Retreat Healthcare

  • Institutional Pharmacy
  • Brattleboro, VT
  • NPI 1295947950
  NPD (past)

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

{
    "created_epoch": "1696982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696982400000",
    "number": "1891576344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 BEN HALE RD",
            "city": "GILL",
            "state": "MA",
            "postal_code": "013549741",
            "telephone_number": "978-320-6823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 LINDEN ST",
            "city": "BRATTLEBORO",
            "state": "VT",
            "postal_code": "053014800",
            "telephone_number": "802-275-3751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEABODY",
        "first_name": "SAMANTHA",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-11",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VT",
            "license": "101.0136620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lucy Parks
• Anthony S Parmenter, MA, LCMHC, AAP, NCC
• David Jackson Patek, MD
• Pathfinder Recovery VT LLC
• Paul D Righi, MD PC
• Gail H Peach, LCMHC RNC
• Gina Victoria Pearce, LCMHC, LADC
• William Pelz-Walsh, M.A.
• Michael Pennington
• Amanda Perez, MA

• Psychiatric/Mental Health Nurse Practitioner in Brattleboro, VT
• Providers in Brattleboro, VT by specialty
• Psychiatric/Mental Health Nurse Practitioner in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.