Active NPIIndividual provider

Mrs. Shenelle K Smith, MSN, CNM, IBCLC

Advanced Practice Midwife in Waterbury, Connecticut

NPI Number1316829690
Practice location
134 Grandview Ave Ste 210, Waterbury, CT 06708-2507
Fax
—
Last updated
July 11, 2026

Shenelle Keisha Smith is an Advanced Practice Midwife based in Waterbury, CT. Shenelle Keisha Smith practices in Waterbury, CT and has the professional credentials of MSN, CNM, IBCLC. The NPI Number for Shenelle Keisha Smith is 1316829690 and holds a License No. 641 (CT). The current practice location address for Shenelle Keisha Smith is 134 Grandview Ave Ste 210, Waterbury, CT 06708-2507 and can be reached out via phone at 203-754-2535.

Provider Profile Details

NPI Number
1316829690
Provider Name
Shenelle Keisha Smith
Credential
MSN, CNM, IBCLC
Provider Entity Type
Individual
Gender
Female
Address
134 Grandview Ave Ste 210, Waterbury, CT 06708-2507
Phone Number
203-754-2535
Primary Taxonomy
Advanced Practice Midwife · 367A00000X
Sole Proprietor
No
Provider Enumeration Date
July 25, 2025
Last Update Date
July 11, 2026
Certification Date
July 11, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
134 Grandview Ave Ste 210
Waterbury, CT 06708-2507
Zip
06708-2507
Phone Number
203-754-2535
Waterbury, CT 06708Get directions →

Provider Business Mailing Address Details

Address
9 Musket Ridge RD
New Fairfield, CT 06812-5101
City
New Fairfield
State
CT
Zip
06812-5101
Phone Number
347-652-4877

License Information

License Number
641
License State
CT
Taxonomy
Advanced Practice Midwife · 367A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Shenelle K Smith, MSN, CNM, IBCLC?

The NPI number of Mrs. Shenelle K Smith, MSN, CNM, IBCLC is 1316829690. It was assigned on July 25, 2025 and is currently active in the NPPES registry.

What is the specialty of Mrs. Shenelle K Smith, MSN, CNM, IBCLC?

Mrs. Shenelle K Smith, MSN, CNM, IBCLC is registered under the primary taxonomy Advanced Practice Midwife (code 367A00000X), licensed in CT under license number 641.

Where does Mrs. Shenelle K Smith, MSN, CNM, IBCLC practice?

The practice location is 134 Grandview Ave Ste 210, Waterbury, CT 06708-2507. The office can be reached at 203-754-2535 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1316829690 directly on the NPPES registry website.

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