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).

  • Individual
  • Female
  • Nurse Practitioner
  • Psychiatric/Mental Health

About SHANTELLE BROKAW

This page provides the complete NPI Profile along with additional information for Shantelle Brokaw, a provider established in Waterbury, Connecticut with a medical specialization in Nurse Practitioner, focusing in psychiatric/mental health . The healthcare provider is registered in the NPI registry with number 1114462561 assigned on December 2016. The practitioner's primary taxonomy code is 363LP0808X with license number 6831 (CT). The provider is registered as an individual and her NPI record was last updated 6 years ago.

NPI
1114462561
Provider Name
MRS. SHANTELLE BROKAW
Gender
Female
Entity Type
Individual
Location Address
128 CEDAR AVE WATERBURY, CT 06705
Location Phone
(203) 757-9271
Mailing Address
500 ALBANY AVE HARTFORD, CT 06120
Mailing Phone
(860) 249-9625
Mailing Fax
(860) 808-1580
Is Sole Proprietor?
No
Enumeration Date
12-21-2016
Last Update Date
04-14-2020
Code Navigator

A nurse practitioner (NP) like Shantelle Brokaw is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Psychiatric/Mental Health

Taxonomy Code
363LP0808X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
6831
License State
CT

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NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1114462561, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
1
Doubled → 2
Pos 4
4
Unchanged
Pos 5
4
Doubled → 8
Pos 6
6
Unchanged
Pos 7
2
Doubled → 4
Pos 8
5
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 4 → 8 2 → 4 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 2 + 4 + 8 + 6 + 4 + 5 + 1 + 2 + 24 = 59

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1114462561.

Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

Occupational Therapy Assistant
128 CEDAR AVE
WATERBURY, CT 06705
Occupational Therapist
128 CEDAR AVE
WATERBURY, CT 06705
Student in an Organized Health Care Education/Training Program
128 CEDAR AVE
WATERBURY, CT 06705
Occupational Therapy Assistant
128 CEDAR AVE
WATERBURY, CT 06705
Skilled Nursing Facility
128 CEDAR AVE
WATERBURY, CT 06705
Nursing Facility/Intermediate Care Facility
128 CEDAR AVE
WATERBURY, CT 06705
Occupational Therapist
128 CEDAR AVE
WATERBURY, CT 06705

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114462561, enumerated as an "individual" on December 21, 2016.

The provider is located at 128 CEDAR AVE WATERBURY, CT 06705 and the phone number is (203) 757-9271.

Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.