Active NPI
Shinisa Donald, NP
- Psychiatric/Mental Health Nurse Practitioner
- Bronx, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 404197
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95044482 | CA | MD | Registered Nurse |
| 701316 | NY | MD | Registered Nurse |
| 95020335 | CA | MD | Psychiatric/Mental Health Nurse Practitioner |
| 404197 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Institute for Family Health | Current | Accepting new patients | |
| The Institute for Family Health | Current | Accepting new patients | |
| Apicha Community Health Center | Current | Accepting new patients | |
| Apicha Community Health Center | Current | Accepting new patients | |
| The Institute for Family Health | Current | 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
- 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.
-
- Federally Qualified Health Center (FQHC)
- New York, NY
- NPI 1730303017
-
dba Institute for Family Health
- Family Medicine Physician
- New York, NY
- NPI 1295729408
-
- Federally Qualified Health Center (FQHC)
- Jackson Heights, NY
- NPI 1396238283
-
- Family Medicine Physician
- New Paltz, NY
- NPI 1740554989
-
- Family Medicine Physician
- New York, NY
- NPI 1972877017
-
- Community/Behavioral Health Agency
- New York, NY
- NPI 1821273459
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.