Individual provider Active NPI

Donalda Isidore

  • Family Nurse Practitioner
  • Bridgeport, CT
National Provider Identifier
1407317670
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
8124 Issued in CT
Practice address
1635 Central Ave
Bridgeport, CT 06610
Phone
(203) 551-7420
NPI assigned
Mar 28, 2019
Last updated
Feb 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 8124 CT Primary

Addresses

Primary practice location

1635 Central Ave
Bridgeport, CT 06610

Mailing address

1635 Central Ave
Bridgeport, CT 06610
Phone (203) 551-7420

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190410000414 CT Practitioner - Nurse Practitioner 2163763624 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sunrise Psychological Services LLCGroup PAC ID 7911130216, 10 clinicians
State of ConnecticutGroup PAC ID 8022915677, 267 clinicians

Practice addresses (Care Compare)

1165 King St
Greenwich, CT 06831-2935
Phone (718) 298-4375

1635 Central Ave
Bridgeport, CT 06610-2717
Phone (203) 551-7464

Merit-based Incentive Payment System (MIPS)

Final score
86.48 of 100Reported as group
Quality
72.39
Improvement activities
40
Cost
72.21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Step Up Care PC LLC CurrentSince Apr 22, 2019 Accepting new patients
State of Connecticut CurrentSince Aug 1, 2020 Accepting new patients
Liberty Integrated Behavioral Health, LLC CurrentSince Feb 15, 2025 Accepting new patients
Sunrise Psychological Services LLC CurrentSince Apr 1, 2019 Accepting new patients
State of Connecticut CurrentSince Aug 1, 2020 Accepting new patients

Locations

1635 Central Ave
Bridgeport, CT 06610
Phone (203) 551-7464

1165 King St
Greenwich, CT 06831
Phone (203) 531-1335

450 Columbus Blvd
Ste 1001
Hartford, CT 06103

18 Hart St
New Britain, CT 06052
Phone (860) 357-4112

55 Grand St
New Britain, CT 06052
Phone (845) 459-5767

139 Toddy Hill Rd
Sandy Hook, CT 06482
Phone (203) 426-5847

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1553731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1407317670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1635 CENTRAL AVE",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "06610",
            "telephone_number": "203-551-7420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 CENTRAL AVE",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "06610",
            "telephone_number": "203-551-7420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISIDORE",
        "first_name": "DONALDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-28",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "8124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeport, CT

Sources for this page

Verify at the official NPI Registry.