Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Sonia Innocent

Individual provider Child & Adolescent Psychiatric/Mental Health Registered Nurse · NPI 1780404681

Sonia Innocent is a Nurse Practitioner in Valley Stream, New York. Qualified in 2024, 2 years ago. Practices with Shakespeare Operating LLC, a 137-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
2
Licensed in
NY
In the registry since
2024

Practice location Address checks out

147 Elm St
Valley Stream, NY 11580-4913
Phone: (347) 856-4652
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Child & Adolescent Psychiatric/Mental Health Registered Nurse (primary) Taxonomy 163WP0807X · Licence F406362-01 (NY)

Record details

NPI number1780404681
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 15, 2024
Last updated in NPPESOctober 15, 2024
Certification dateOctober 15, 2024
Mailing address147 Elm St, Valley Stream, NY 11580-4913

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Shakespeare Operating Llc — 137 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Valley Stream