Keisha McDonald

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

558595 Issued in NY

Practice address

10989 204TH St
Saint Albans, NY 11412-1336

Phone

(718) 479-5540

NPI assigned

Jan 13, 2016

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1452643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452643200000",
    "number": "1770949265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18713 TIOGA DR",
            "city": "SAINT ALBANS",
            "state": "NY",
            "postal_code": "114123012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10989 204TH ST",
            "city": "SAINT ALBANS",
            "state": "NY",
            "postal_code": "114121336",
            "telephone_number": "718-479-5540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "KEISHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-13",
        "last_updated": "2016-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "558595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seena Kuriakose Mathew, M S OTR L
• Maude Ambulance Co LLC
• Joyce Silvia Mazaras, OTR/L
• Erica McCullough
• Antonette McCurdy, FNP
• Shanice McDonald
• Shayla McKinnon
• Danielle S McLaughlin
• Alicia Sasha McLean-Rowe, MSED
• Rosemarie R. McLean

• All providers in Saint Albans, NY
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2016; 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.