Individual provider Active NPI

Sheri Ann Peabody, MSN APN-BC

  • Adult Health Nurse Practitioner
  • Rocky Hill, CT
National Provider Identifier
1992942205
Registry record updated May 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
003982 Issued in CT
Practice address
400 Capital Drive Suite 3-134
Rocky Hill, CT 06067
Phone
(860) 830-2473
NPI assigned
Jan 8, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 003982 CT Primary

Addresses

Primary practice location

400 Capital Drive Suite 3-134
Rocky Hill, CT 06067

Mailing address

400 Captial Drive Suite 3-134
Rocky Hill, CT 06067
Phone (860) 830-2473

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140417001358 CT Order and Referring Only - Nurse Practitioner 7214112556

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
3982CTMDPsychologist
003982CTMDClinical Social Worker
71984CTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Physician Services PC Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1231372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399852800000",
    "number": "1992942205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 CAPTIAL DRIVE SUITE 3-134",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "06067",
            "telephone_number": "860-830-2473",
            "fax_number": "866-383-8532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 CAPITAL DRIVE SUITE 3-134",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "06067",
            "telephone_number": "860-830-2473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEABODY",
        "first_name": "SHERI",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "MSN APN-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-08",
        "last_updated": "2014-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CT",
            "license": "003982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Hill, CT

Sources for this page

Verify at the official NPI Registry.