Individual provider Active NPI

Shinisa Donald, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Bronx, NY
National Provider Identifier
1467193110
Registry record updated Dec 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
404197 Issued in NY
Practice address
2488 Grand Concourse FL 2
Bronx, NY 10458-5203
Phone
(718) 881-7600
NPI assigned
Apr 6, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 95044482 CA
Registered Nurse 163W00000X 701316 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95020335 CA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 404197 NY Primary

Addresses

Primary practice location

2488 Grand Concourse FL 2
Bronx, NY 10458-5203

Mailing address

1360 S Figueroa St
Ste D #127
Los Angeles, CA 90015
Phone (424) 279-3706

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20220923001513 NY Practitioner - Nurse Practitioner 9739564972 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95044482CAMDRegistered Nurse
701316NYMDRegistered Nurse
95020335CAMDPsychiatric/Mental Health Nurse Practitioner
404197NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Institute for Family Health Current Accepting new patients
The Institute for Family Health CurrentSince Feb 1, 2024 Accepting new patients
Apicha Community Health Center CurrentSince Sep 8, 2025 Accepting new patients
Apicha Community Health Center CurrentSince Sep 8, 2025 Accepting new patients
The Institute for Family Health CurrentSince Feb 1, 2024 Accepting new patients
Jewish Board of Family and Children's Services, Inc Past Accepting new patients

Locations

1420 Ferris Pl
Bronx, NY 10461
Phone (718) 239-1610

731 White Plains Rd
Bronx, NY 10473
Phone (718) 589-8324

1420 Ferris Pl
Ste 1
Bronx, NY 10461
Phone (718) 239-1610

130 W Tremont Ave
Bronx, NY 10453
Phone (718) 299-3045

1894 Walton Ave
Bronx, NY 10453
Phone (718) 583-2508

6 Healthy Way
Ellenville, NY 12428
Phone (845) 647-4500

11 Crum Elbow Rd
Hyde Park, NY 12538
Phone (845) 229-1020

8211 37th Ave
Jackson Heights, NY 11372
Phone (646) 747-8091

140 Pine St
Kingston, NY 12401
Phone (844) 434-2778

1 Family Practice Dr
Kingston, NY 12401
Phone (845) 338-2562

279 Main St
New Paltz, NY 12561
Phone (845) 255-2930

601 W 114th St
New York, NY 10025
Phone (212) 280-1284

1824 Madison Ave
Fl 2
New York, NY 10035
Phone (212) 423-4200

251 W 80th St
New York, NY 10024

16 E 16th St
New York, NY 10003
Phone (212) 633-0800

230 W 17th St
New York, NY 10011
Phone (212) 989-8999

400 Broadway
New York, NY 10013
Phone (212) 334-6029

2090 Adam Clayton Powell Jr Blvd
New York, NY 10027
Phone (212) 553-6606

400 Broadway
Fl 4
New York, NY 10013
Phone (212) 334-6029

690 Amsterdam Ave
New York, NY 10025
Phone (212) 865-4104

1824 Madison Ave
New York, NY 10035
Phone (212) 423-4200

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JJBGAA

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1649203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701734400000",
    "number": "1467193110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 S FIGUEROA ST",
            "address_2": "STE D #127",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90015",
            "telephone_number": "424-279-3706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2488 GRAND CONCOURSE FL 2",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104585203",
            "telephone_number": "718-881-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONALD",
        "first_name": "SHINISA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-06",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95044482",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "701316",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95020335",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "404197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.