Individual provider Active NPI

Shahida Chaudhary

  • Family Nurse Practitioner
  • Vernon, CT
National Provider Identifier
1285500496
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
90309 Issued in CT
Practice address
145 Union St
Vernon, CT 06066-3025
Phone
(860) 375-8440
NPI assigned
Oct 14, 2025
Last updated
Oct 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 90309 CT Primary

Addresses

Primary practice location

145 Union St
Vernon, CT 06066-3025

Mailing address

145 Union St
Vernon, CT 06066-3025
Phone (860) 375-8440

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20260302001781 CT Practitioner - Nurse Practitioner 3274015060 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Careteam Health LLCGroup PAC ID 3173906070, 6 clinicians

Practice addresses (Care Compare)

340 Broad St
Suite 100
Windsor, CT 06095-3030
Phone (860) 483-8836

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15610CTMDClinical Social Worker
90309CTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Careteam Health LLC CurrentSince Jan 22, 2026 Accepting new patients

Locations

340 Broad St
Ste 100
Windsor, CT 06095
Phone (860) 483-8836

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1760400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1285500496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 UNION ST",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "060663025",
            "telephone_number": "860-375-8440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 UNION ST",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "060663025",
            "telephone_number": "860-375-8440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAUDHARY",
        "first_name": "SHAHIDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-14",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "90309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vernon, CT

Sources for this page

Verify at the official NPI Registry.