Active NPI
Shawne D Johnson, BCIHC
- Health Educator
- Waterbury, CT
National Provider Identifier
1316805377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- Practice address
- 24 Bronx Ave
Waterbury, CT 06705-1512 - Phone
- (203) 754-7666
- NPI assigned
- Jan 9, 2026
- Last updated
- Jan 9, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | CT | ||
| Health Educator | 174H00000X | CT | Primary | |
| Health & Wellness Coach | 171400000X | CT |
Addresses
Primary practice location
24 Bronx Ave
Waterbury, CT 06705-1512
Mailing address
24 Bronx Ave
Waterbury, CT 06705-1512
Phone (203) 754-7666
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Path Wellness Group | Health & Wellness Coach | Current | Accepting new patients |
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": "1767916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767916800000",
"number": "1316805377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 BRONX AVE",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067051512",
"telephone_number": "203-754-7666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 BRONX AVE",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067051512",
"telephone_number": "203-754-7666"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "SHAWNE",
"middle_name": "D",
"credential": "BCIHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-01-09",
"last_updated": "2026-01-09",
"certification_date": "2026-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "CT",
"license": null,
"primary": false
},
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": "CT",
"license": null,
"primary": true
},
{
"code": "171400000X",
"taxonomy_group": "",
"desc": "Health & Wellness Coach",
"state": "CT",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waterbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.