- Practice location
- 208 Kidd Dr, Berea, KY 40403-9593
- Phone
- 859-428-7862
- Fax
- 859-999-7869
- Last updated
- June 1, 2026
Samantha Ann Capistrant is a Nurse Practitioner, Psych/Mental Health based in Berea, KY. Samantha Ann Capistrant practices in Berea, KY and has the professional credentials of PMHNP-BC. The NPI Number for Samantha Ann Capistrant is 1962130302 and holds a License No. RN2302151 (MA). The current practice location address for Samantha Ann Capistrant is 208 Kidd Dr, Berea, KY 40403-9593 and can be reached out via phone at 859-428-7862 and via fax at 859-999-7869.
Provider Profile Details
- NPI Number
- 1962130302
- Provider Name
- Samantha Ann Capistrant
- Credential
- PMHNP-BC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 208 Kidd Dr, Berea, KY 40403-9593
- Phone Number
- 859-428-7862
- Fax Number
- 859-999-7869
- Primary Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 12, 2022
- Last Update Date
- June 1, 2026
- Certification Date
- June 1, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 208 Kidd Dr
Berea, KY 40403-9593 - City
- Berea
- State
- Kentucky
- Zip
- 40403-9593
- Phone Number
- 859-428-7862
- Fax Number
- 859-999-7869
Provider Business Mailing Address Details
- Address
- Po Box 802
Berea, KY 40403-0802 - City
- Berea
- State
- KY
- Zip
- 40403-0802
- Phone Number
- 859-428-7862
- Fax Number
- 859-999-7869
License Information
- License Number (1)
- RN2302151
- License State (1)
- MA
- Taxonomy (1)
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
- License Number (2)
- RN2302151
- License State (2)
- MA
- Taxonomy (2)
- Registered Nurse, Psych/Mental Health · 163WP0808X
- License Number (3)
- 4053788
- License State (3)
- KY
- Taxonomy (3)
- Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Nurse Practitioner, Psych/Mental Health providers near Berea, KY
View all Nurse Practitioner, Psych/Mental Health providers in Berea →Frequently Asked Questions
What is the NPI number of Samantha A Capistrant, PMHNP-BC?
The NPI number of Samantha A Capistrant, PMHNP-BC is 1962130302. It was assigned on August 12, 2022 and is currently active in the NPPES registry.
What is the specialty of Samantha A Capistrant, PMHNP-BC?
Samantha A Capistrant, PMHNP-BC is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in MA under license number RN2302151.
Where does Samantha A Capistrant, PMHNP-BC practice?
The practice location is 208 Kidd Dr, Berea, KY 40403-9593. The office can be reached at 859-428-7862 (phone) or 859-999-7869 (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 1962130302 directly on the NPPES registry website.