Shabbree Monsanto

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LN100137 Issued in MA

Practice address

55 Fishfry St
Hartford, CT 06120-1203

Phone

(860) 247-8300

NPI assigned

Mar 23, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Community Substance Abuse Centers, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Hartford, CT
  • NPI 1487637724

  Licensed Practical Nurse

  NPD (past)
• Community Physicians PC

  • Methadone Clinic
  • Portland, ME
  • NPI 1316242209
  NPD (past)

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

{
    "created_epoch": "1647993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1699424929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 E COLUMBUS AVE",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011052506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 FISHFRY ST",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061201203",
            "telephone_number": "860-247-8300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "511 E Columbus Ave",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MA",
            "postal_code": "01105",
            "country_code": "US",
            "telephone_number": "413-266-4067 x139",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONSANTO",
        "first_name": "SHABBREE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-23",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MA",
            "license": "LN100137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Macleod Moncur, MD
• Susan Mondor, PTA
• Patrick Monico, DO
• Jacob Moninghoff
• Taerikko Monroe
• Khari Zoe Montague
• Raul Antonio Montanez Valverde, MD
• Loida Montanez, RPH, PHARMD
• Carole L Montano, APRN
• Emily Montano

• Licensed Practical Nurse in Hartford, CT
• Providers in Hartford, CT by specialty
• Licensed Practical Nurse in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.