Shenell Johnson, APRN
Nurse Practitioner, Family in Waterbury, Connecticut
1659267011- Practice location
- 51 N Elm St, Waterbury, CT 06702-1545
- Phone
- 203-574-4000
- Fax
- 203-574-4003
- Last updated
- October 30, 2026
Shenell Johnson is a Nurse Practitioner, Family based in Waterbury, CT. Shenell Johnson practices in Waterbury, CT and has the professional credentials of APRN. The NPI Number for Shenell Johnson is 1659267011 and holds a License No. 964168 (NY). The current practice location address for Shenell Johnson is 51 N Elm St, Waterbury, CT 06702-1545 and can be reached out via phone at 203-574-4000 and via fax at 203-574-4003.
Provider Profile Details
- NPI Number
- 1659267011
- Provider Name
- Shenell Johnson
- Credential
- APRN
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 51 N Elm St, Waterbury, CT 06702-1545
- Phone Number
- 203-574-4000
- Fax Number
- 203-574-4003
- Primary Taxonomy
- Nurse Practitioner, Family · 363LF0000X
- Sole Proprietor
- No
- Other Names
- Shenell Caroline Patria Birch (Former Name)
- Provider Enumeration Date
- June 13, 2025
- Last Update Date
- October 30, 2026
- Certification Date
- October 30, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 51 N Elm St
Waterbury, CT 06702-1545 - City
- Waterbury
- State
- Connecticut
- Zip
- 06702-1545
- Phone Number
- 203-574-4000
- Fax Number
- 203-574-4003
Provider Business Mailing Address Details
- Address
- 51 N Elm St
Waterbury, CT 06702-1545 - City
- Waterbury
- State
- CT
- Zip
- 06702-1545
- Phone Number
- 203-574-4000
- Fax Number
- 203-574-4003
License Information
- License Number (1)
- 964168
- License State (1)
- NY
- Taxonomy (1)
- Registered Nurse · 163W00000X
- License Number (2)
- 224736
- License State (2)
- CT
- Taxonomy (2)
- Registered Nurse · 163W00000X
- License Number (3)
- 15120
- License State (3)
- CT
- Taxonomy (3)
- Nurse Practitioner, Family · 363LF0000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Shenell Johnson, APRN?
The NPI number of Shenell Johnson, APRN is 1659267011. It was assigned on June 13, 2025 and is currently active in the NPPES registry.
What is the specialty of Shenell Johnson, APRN?
Shenell Johnson, APRN is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in NY under license number 964168.
Where does Shenell Johnson, APRN practice?
The practice location is 51 N Elm St, Waterbury, CT 06702-1545. The office can be reached at 203-574-4000 (phone) or 203-574-4003 (fax).
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 1659267011 directly on the NPPES registry website.