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SHAWNETTE TABISA LATOYA THOMAS-PARK MD
NPI 1891634655
Student in an Organized Health Care Education/Training Program in Waterbury, CT

Active since March 26, 2026PECOS Enrolled
56 FRANKLIN ST STE 1, WATERBURY, CT 06706(203) 709-6000 Get Directions Write a Review

NPPES record last updated: March 26, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shawnette Tabisa Latoya Thomas-park Md NPPES

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

SHAWNETTE TABISA LATOYA THOMAS-PARK MD (NPI 1891634655) is an individual student in an organized health care education/training program in Waterbury, Connecticut, licensed in Connecticut (06-0646844) and active in the NPI registry since March 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891634655
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSHAWNETTE TABISA LATOYA THOMAS-PARKCredential: MD
Location Address56 FRANKLIN ST STE 1Waterbury, CT 06706-1281
Mailing Address56 Franklin St Ste 1Waterbury, CT 06706-1281 · (203) 709-6000
Phone(203) 709-6000
Sole ProprietorNo
Enumeration DateMarch 26, 2026
NPPES CertifiedMarch 26, 2026
✔ NPI 1891634655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in CT · 06-0646844
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
56 FRANKLIN ST STE 1, Waterbury, CT 06706
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shawnette Tabisa Latoya Thomas-park Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

ARMIN SAMI MD
Student in an Organized Health Care Education/Training Program
56 FRANKLIN ST STE 1
WATERBURY, CT 06706
Naugatuck Valley Planning Region (203) 709-6000
LAURA GODKIN MD
Student in an Organized Health Care Education/Training Program
56 FRANKLIN ST STE 1
WATERBURY, CT 06706
Naugatuck Valley Planning Region (203) 709-6000
ROBERT ARNO
Nurse Anesthetist, Certified Registered
56 FRANKLIN ST STE 1
WATERBURY, CT 06706
Naugatuck Valley Planning Region (203) 709-6000
SHIKA CARD
Student in an Organized Health Care Education/Training Program
56 FRANKLIN ST STE 1
WATERBURY, CT 06706
Naugatuck Valley Planning Region (203) 709-6479
KATE JOHNSON FAULKNER RDN, CD-N
Dietitian, Registered
56 FRANKLIN ST STE 1
WATERBURY, CT 06706
Naugatuck Valley Planning Region (203) 241-6506
DANIELLE ALEXANDRIA KIRBY-MCGANN LMSW
Social Worker
56 FRANKLIN ST STE 1
WATERBURY, CT 06706
Naugatuck Valley Planning Region (203) 709-6141
SUSHANT CHAUDHARY MD
Internal Medicine (Pulmonary Disease)
56 FRANKLIN ST STE 1
WATERBURY, CT 06706
Naugatuck Valley Planning Region (203) 709-6000
SAINT MARY'S HOSPITAL, INC.
Student in an Organized Health Care Education/Training Program
56 FRANKLIN ST STE 1
WATERBURY, CT 06706
Naugatuck Valley Planning Region (203) 709-6479

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 Shawnette Thomas-park's NPI number?

The NPI number for Shawnette Thomas-park is 1891634655. It was assigned to this individual provider in the NPPES registry on March 26, 2026.

Where is Shawnette Thomas-park located?

Shawnette Thomas-park practices at 56 Franklin St Ste 1, Waterbury, CT 06706. The listed phone number is (203) 709-6000.

What is Shawnette Thomas-park's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Shawnette Thomas-park enrolled in Medicare?

Yes. Shawnette Thomas-park is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shawnette Thomas-park was last updated on March 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.