OrganizationActive
Mashantucket Pequot Tribal Council
NPI 1508140922 · Family Medicine Physician · Ledyard, CT
Provider details
- NPI number
- 1508140922
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Shanna Reels, Tribal Health Services Director(860) 312-8014
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
75 Route 2
Ledyard, CT 06339-1128
Phone: (860) 312-8000
Fax: (860) 312-8001
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 3260
Mashantucket, CT 06339-3260
Registry dates
- Enumerated
- 2011-10-04
- Last updated
- 2014-09-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.