Active NPI
Lisa Guerini McDonald, CPNP
- Registered Nurse
- Bronx, NY
National Provider Identifier
1427560879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 404356-1
- Practice address
- 108 W 174TH St
Bronx, NY 10453 - Phone
- (718) 299-0280
- NPI assigned
- Oct 25, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Clinical Nurse Specialist | 364SP0200X | F381270-1 | NY | |
| Registered Nurse | 163W00000X | 404356-1 | NY | Primary |
Addresses
Primary practice location
108 W 174TH St
Bronx, NY 10453
Mailing address
41-43 Crescent St
Long Island City, NY 11101
Phone (718) 784-2240
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Certified Pediatric Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 404356-1 | NY | MD | Registered Nurse |
| F381270-1 | NY | MD | Pediatric Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508889600000",
"number": "1427560879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41-43 CRESCENT ST",
"city": "LONG ISLAND CITY",
"state": "NY",
"postal_code": "11101",
"telephone_number": "718-784-2240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 W 174TH ST",
"city": "BRONX",
"state": "NY",
"postal_code": "10453",
"telephone_number": "718-299-0280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDONALD",
"first_name": "LISA",
"middle_name": "GUERINI",
"credential": "CPNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-25",
"last_updated": "2017-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "364SP0200X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Pediatrics",
"state": "NY",
"license": "F381270-1",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "404356-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.