Shakeria C Brown

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

12.009248 Issued in CT

Practice address

567 Millville Ave Apt 3-10
Naugatuck, CT 06770-2337

Phone

(203) 415-8608

NPI assigned

Oct 13, 2020

Last updated

Oct 13, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Harvest Healthcare LLCGroup PAC ID 9931276979, 72 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Harvest Healthcare LLC

  • Clinical Social Worker
  • Avon, CT
  • NPI 1477712917

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Renew Your Mind

  • Psychiatric/Mental Health Nurse Practitioner
  • Waterbury, CT
  • NPI 1851037394

  Single Specialty

  Medicare reassignment NPD Authorized official
• McCall Foundation, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Torrington, CT
  • NPI 1043362429

  Single Specialty

  Medicare reassignment NPD
• McCall Foundation Inc.

  dba McCall Whole Health Center

  • Family Medicine Physician
  • Waterbury, CT
  • NPI 1891516407
  NPD
• Abundant Life Counseling LLC

  • Clinical Social Worker
  • Waterbury, CT
  • NPI 1467998674

  Single Specialty

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1602547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602547200000",
    "number": "1043818966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "567 MILLVILLE AVE APT 3-10",
            "city": "NAUGATUCK",
            "state": "CT",
            "postal_code": "067702337",
            "telephone_number": "203-415-8608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "567 MILLVILLE AVE APT 3-10",
            "city": "NAUGATUCK",
            "state": "CT",
            "postal_code": "067702337",
            "telephone_number": "203-415-8608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "SHAKERIA",
        "middle_name": "C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-13",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "12.009248",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12.009248",
            "state": "CT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "customrange50@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "567 Millville Ave Apt 3-10",
            "city": "Naugatuck",
            "state": "CT",
            "country_code": "US",
            "postal_code": "067702337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Karen Blood, PT
• Amber Borges
• Susanne Branco, PTA
• Thomas Stephen Brewer, EMT, PHARMACY TECH
• Richard Brito
• Susan P Brown, PSYD
• Nicole Bunnell, LCSW
• Glauca Burgos
• Holly Burton, L.M.T.
• Saverio J. Caligiuri, PT

• Psychiatric/Mental Health Nurse Practitioner in Naugatuck, CT
• Providers in Naugatuck, CT by specialty
• Psychiatric/Mental Health Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.