Shawnette T Thomas-Park, MD
Student in an Organized Health Care Education/Training Program in Waterbury, Connecticut
1891634655- Practice location
- 56 Franklin St Ste 1, Waterbury, CT 06706-1281
- Phone
- 203-709-6000
- Fax
- —
- Last updated
- March 26, 2026
Shawnette Tabisa Latoya Thomas-Park is a Student in an Organized Health Care Education/Training Program based in Waterbury, CT. Shawnette Tabisa Latoya Thomas-Park practices in Waterbury, CT and has the professional credentials of MD. The NPI Number for Shawnette Tabisa Latoya Thomas-Park is 1891634655 and holds a License No. 06-0646844 (CT). The current practice location address for Shawnette Tabisa Latoya Thomas-Park is 56 Franklin St Ste 1, Waterbury, CT 06706-1281 and can be reached out via phone at 203-709-6000.
Provider Profile Details
- NPI Number
- 1891634655
- Provider Name
- Shawnette Tabisa Latoya Thomas-Park
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 56 Franklin St Ste 1, Waterbury, CT 06706-1281
- Phone Number
- 203-709-6000
- Primary Taxonomy
- Student in an Organized Health Care Education/Training Program · 390200000X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 26, 2026
- Last Update Date
- March 26, 2026
- Certification Date
- March 26, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 56 Franklin St Ste 1
Waterbury, CT 06706-1281 - City
- Waterbury
- State
- Connecticut
- Zip
- 06706-1281
- Phone Number
- 203-709-6000
Provider Business Mailing Address Details
- Address
- 56 Franklin St Ste 1
Waterbury, CT 06706-1281 - City
- Waterbury
- State
- CT
- Zip
- 06706-1281
- Phone Number
- 203-709-6000
License Information
- License Number
- 06-0646844
- License State
- CT
- Taxonomy
- Student in an Organized Health Care Education/Training Program · 390200000X · 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 Shawnette T Thomas-Park, MD?
The NPI number of Shawnette T Thomas-Park, MD is 1891634655. It was assigned on March 26, 2026 and is currently active in the NPPES registry.
What is the specialty of Shawnette T Thomas-Park, MD?
Shawnette T Thomas-Park, MD is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X), licensed in CT under license number 06-0646844.
Where does Shawnette T Thomas-Park, MD practice?
The practice location is 56 Franklin St Ste 1, Waterbury, CT 06706-1281. The office can be reached at 203-709-6000 (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 1891634655 directly on the NPPES registry website.