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MRS. SHANTELLE BROKAW
NPI 1114462561
Nurse Practitioner - Psychiatric/Mental Health in Waterbury, CT

Active since December 21, 2016
128 CEDAR AVE, WATERBURY, CT 06705(203) 757-9271 Get Directions Write a Review

NPPES record last updated: April 14, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 14, 2020, Dec 21, 2016 (2 updates tracked since 2016).

About Mrs. Shantelle Brokaw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. SHANTELLE BROKAW (NPI 1114462561) is an individual psychiatric/mental health provider in Waterbury, Connecticut, licensed in Connecticut (6831) and active in the NPI registry since December 2016.

NPPES Registry Identity

NPI1114462561
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMRS. SHANTELLE BROKAW
Location Address128 CEDAR AVEWaterbury, CT 06705-2700
Mailing Address500 Albany AveHartford, CT 06120-2508 · (860) 249-9625 · Fax (860) 808-1580
Phone(203) 757-9271
Sole ProprietorNo
Enumeration DateDecember 21, 2016
Last NPPES UpdateApril 14, 20202 updates tracked since enumeration
NPPES CertifiedApril 14, 2020
✔ NPI 1114462561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CT · 6831
128 CEDAR AVE, Waterbury, CT 06705
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Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRIS PINNETTE
Occupational Therapy Assistant
128 CEDAR AVE
WATERBURY, CT 06705
Naugatuck Valley Planning Region (203) 757-9271
MICHAEL RIVERS
Occupational Therapist
128 CEDAR AVE
WATERBURY, CT 06705
Naugatuck Valley Planning Region (203) 757-9271
MS. AMANDA L BARRY
Student in an Organized Health Care Education/Training Program
128 CEDAR AVE
WATERBURY, CT 06705
Naugatuck Valley Planning Region (203) 757-9271
KATHERINE MOLTER
Occupational Therapy Assistant
128 CEDAR AVE
WATERBURY, CT 06705
Naugatuck Valley Planning Region (203) 706-1732
WATERBURY GARDENS NURSING AND REHAB LLC
Skilled Nursing Facility
128 CEDAR AVE
WATERBURY, CT 06705
Naugatuck Valley Planning Region (516) 505-0000
WATERBURY GARDENS NURSING AND REHAB LLC
Nursing Facility/Intermediate Care Facility
128 CEDAR AVE
WATERBURY, CT 06705
Naugatuck Valley Planning Region (516) 505-0000
GRACE ARCHIBALD OTR/L
Occupational Therapist
128 CEDAR AVE
WATERBURY, CT 06705
Naugatuck Valley Planning Region (203) 757-9271

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shantelle Brokaw's NPI number?

The NPI number for Shantelle Brokaw is 1114462561. It was assigned to this individual provider in the NPPES registry on December 21, 2016.

Where is Shantelle Brokaw located?

Shantelle Brokaw practices at 128 Cedar Ave, Waterbury, CT 06705. The listed phone number is (203) 757-9271.

What is Shantelle Brokaw's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Shantelle Brokaw was last updated on April 14, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.