TERESA JOAN SHORT (NPI# 1235117110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235117110 |
| Entity Type | Individual |
| Full Name | TERESA JOAN SHORT |
| Credential | FNP |
| Practice Address |
1010 N Jesse James Rd Excelsior Springs MO 64024-1202 |
| Practice Telephone | 8166306722 |
| Practice Fax Number | 8166302471 |
| Mailing Telephone | 8166306722 |
| Mailing Fax Number | 8166302471 |
| Enumeration Date | 2006-01-02 |
| Last Update Date | 2013-08-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN107701 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659645273 | Teresa L Short | Nurse Practitioner | 1250 Chester Blvd, Suite 2, Richmond, IN 47374-1933 | 2012-02-29 |
| 1801850607 | Teresa L Short | Licensed Practical Nurse | 650 Joel Drive, Blanchfield Army Community Hospital, Ft Campbell, KY 42223-5349 | 2006-04-17 |
| Street Address |
1010 N JESSE JAMES RD |
| City | EXCELSIOR SPRINGS |
| State | MO |
| Zip Code | 64024-1202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205814910 | Robert Lee Buzard | Family Medicine | 1010 N Jesse James Rd, Excelsior Springs, MO 64024-1202 | 2006-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417414178 | Allison Gordy | Nurse Practitioner | 10101 N Jesse James Rd., Excelsior Springs, MO 64024 | 2019-02-28 |
| 1508398892 | Holly Nicole Courtney | Occupational Therapist | 1300 Meadowlark Ln, Excelsior Springs, MO 64024 | 2017-03-28 |
| 1063839835 | John Paul Schutz | Family Medicine | 25814 Wornall Road, Excelsior Springs, MO 64024 | 2014-03-18 |
| 1215276977 | Anna M Wells | Nurse Practitioner | 1006 N Jesse James Rd Suite #1, Excelsior Springs, MO 64024 | 2013-01-31 |
| 1326386749 | New Liberty Hospital Corporation | Family Medicine | 199 S Mccleary Rd, Suite 100, Excelsior Springs, MO 64024 | 2013-01-18 |
| 1306132600 | Christopher Cooper | Family Medicine | 199 S. Mccleary Rd, Excelsior Springs, MO 64024 | 2011-06-24 |
| 1295922458 | Dst Inc | Assisted Living Facility | 410 Superior, Excelsior Springs, MO 64024 | 2007-10-01 |
| 1114084738 | Medical Arts Centers Inc | Family Medicine | 950 N Jesse James Rd, Excelsior Spgs, MO 64024 | 2007-01-02 |
| 1376621557 | Missouri Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 1018 N Jesse James Rd, Excelsior Springs, MO 64024 | 2006-11-02 |
| 1265464234 | Excelsior Springs 1 Inc | Skilled Nursing Facility | 1410 Hospital Drive, Excelsior Springs, MO 64024 | 2006-07-07 |
| Find all providers in zip 64024 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417414178 | Allison Gordy | Nurse Practitioner | 10101 N Jesse James Rd., Excelsior Springs, MO 64024 | 2019-02-28 |
| 1275005753 | Kelly Leigh Shue | Nurse Practitioner | 1214 Tillery Rd, Excelsior Springs, MO 64024-2915 | 2018-12-21 |
| 1497129340 | Michelle R Jordan | Nurse Practitioner | 1645 Kearney Rd, Excelsior Springs, MO 64024-1753 | 2015-11-16 |
| 1215276977 | Anna M Wells | Nurse Practitioner | 1006 N Jesse James Rd Suite #1, Excelsior Springs, MO 64024 | 2013-01-31 |
| 1427324045 | Catherine Yvonne Shull | Nurse Practitioner | 1236 N. Jesse James Rd., Excelsior Springs, MO 64024-1119 | 2012-03-28 |
| 1750938320 | Bethanne F Cordova | Nurse Practitioner | 1700 Rainbow Blvd, Excelsior Springs, MO 64024-1182 | 2019-08-19 |
| 1245718055 | Twyla Arielle Johnson | Nurse Practitioner | 1236 N Jesse James Rd, Excelsior Springs, MO 64024-1119 | 2018-08-02 |
| 1134589542 | Petisha Davis | Nurse Practitioner | 1700 Rainbow Blvd, Excelsior Springs, MO 64024-1182 | 2016-02-26 |
| 1285016295 | Jodie Carpenter | Nurse Practitioner | 199 S. Mccleary Rd, Excelsior Springs, MO 64024 | 2015-06-25 |
| 1497159669 | Colleen Britt | Nurse Practitioner | 1236 N Jesse James Rd, Excelsior Springs, MO 64024 | 2014-10-17 |
| Find all providers in EXCELSIOR SPRINGS | ||||
| City | EXCELSIOR SPRINGS |
| Zip Code | 64024 |
Please comment or provide details below to improve the information on TERESA JOAN SHORT.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.