Omawatie Shelly Gopee-Bonilla, MSN, RN, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F345067-01 Issued in NY

Practice address

1775 Grand Concourse FL 5
Bronx, NY 10453-8202

Phone

(561) 472-4701

NPI assigned

Nov 7, 2019

Last updated

Nov 27, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Omawatie Gopee-Santana Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

Networks

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

Interoperability endpoints

• Direct secure messaging: ogopees@montefioredirect.com

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

{
    "created_epoch": "1573084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1700421336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "289 HELENA AVE",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107102118",
            "telephone_number": "561-472-4701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1775 GRAND CONCOURSE FL 5",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104538202",
            "telephone_number": "561-472-4701"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3314 Steuben Ave",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104672806",
            "country_code": "US",
            "telephone_number": "561-472-4701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOPEE-BONILLA",
        "first_name": "OMAWATIE",
        "middle_name": "SHELLY",
        "credential": "MSN, RN, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-07",
        "last_updated": "2023-11-27",
        "certification_date": "2020-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F345067-01",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN NURSES CREDENTIALING CENTER",
            "identifier": "2019039937",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW YORK STATE OFFICE OF THE PROFESSIONS",
            "identifier": "F345067-01",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "EPIC",
            "affiliation": "Y",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1775 Grand Concourse Fl 5",
            "city": "Bronx",
            "state": "NY",
            "country_code": "US",
            "postal_code": "104538202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "OMAWATIE",
            "last_name": "GOPEE-SANTANA",
            "credential": "MSN, RN, FNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Laura Goorin, PH.D.
• Kayla Gopal
• Sireen M Gopal, M.D.
• Swathi Gopalakrishnan, MD
• La Chelle Gopaul
• Manju Gopinathan, DDS, MS
• Renuka Gor, M.D.
• Jaimie Beth Goralnick, MD
• Daniela Gordillo, MOTR/L
• Marcia Gordon-Barrett, LPN

• Family Nurse Practitioner in Bronx, NY
• Providers in Bronx, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.