Active NPIIndividual providerSole proprietor

Mrs. Samantha B Ingerick, NP

Nurse Practitioner, Pediatrics in Manchester, Vermont

NPI Number1457750234
Practice location
4384 Main Street, Manchester, VT 05254-9207
Fax
802-662-2173
Last updated
October 23, 2023

Samantha Burnham Ingerick is a Nurse Practitioner, Pediatrics based in Manchester, VT. Samantha Burnham Ingerick practices in Manchester, VT and has the professional credentials of NP. The NPI Number for Samantha Burnham Ingerick is 1457750234 and holds a License No. F382385-1 (NY). The current practice location address for Samantha Burnham Ingerick is 4384 Main Street, Manchester, VT 05254-9207 and can be reached out via phone at 802-768-9136 and via fax at 802-662-2173.

Provider Profile Details

NPI Number
1457750234
Provider Name
Samantha Burnham Ingerick
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
4384 Main Street, Manchester, VT 05254-9207
Phone Number
802-768-9136
Fax Number
802-662-2173
Primary Taxonomy
Nurse Practitioner, Pediatrics · 363LP0200X
Sole Proprietor
Yes
Other Names
Smantha Burnham (Former Name)
Provider Enumeration Date
August 18, 2014
Last Update Date
October 23, 2023
Certification Date
October 16, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
4384 Main Street
Manchester, VT 05254-9207
State
Vermont
Zip
05254-9207
Phone Number
802-768-9136
Fax Number
802-662-2173
Manchester, VT 05254Get directions →

Provider Business Mailing Address Details

Address
Po Box 255
Manchester, VT 05254-0255
City
Manchester
State
VT
Zip
05254-0255
Phone Number
802-768-9136
Fax Number
802-662-2173

License Information

License Number (1)
F382385-1
License State (1)
NY
Taxonomy (1)
Nurse Practitioner, Pediatrics · 363LP0200X
License Number (2)
088196-23
License State (2)
NH
Taxonomy (2)
Nurse Practitioner, Pediatrics · 363LP0200X
License Number (3)
101.0134299
License State (3)
VT
Taxonomy (3)
Nurse Practitioner, Pediatrics · 363LP0200X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Nurse Practitioner, Pediatrics providers near Manchester, VT

View all Nurse Practitioner, Pediatrics providers in Manchester →

Frequently Asked Questions

What is the NPI number of Mrs. Samantha B Ingerick, NP?

The NPI number of Mrs. Samantha B Ingerick, NP is 1457750234. It was assigned on August 18, 2014 and is currently active in the NPPES registry.

What is the specialty of Mrs. Samantha B Ingerick, NP?

Mrs. Samantha B Ingerick, NP is registered under the primary taxonomy Nurse Practitioner, Pediatrics (code 363LP0200X), licensed in NY under license number F382385-1.

Where does Mrs. Samantha B Ingerick, NP practice?

The practice location is 4384 Main Street, Manchester, VT 05254-9207. The office can be reached at 802-768-9136 (phone) or 802-662-2173 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1457750234 directly on the NPPES registry website.

Browse related providers