MRS. CANDACE N SHORT (NPI# 1407919822) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407919822 |
| Entity Type | Individual |
| Full Name | MRS. CANDACE N SHORT |
| Credential | CRNP |
| Practice Address |
137 Clinic Dr Dothan AL 36303-1992 |
| Mailing Address |
Po Box 8684 Dothan AL 36304-0684 |
| Practice Telephone | 3346992229 |
| Practice Fax Number | 3346994084 |
| Mailing Telephone | 3346992229 |
| Mailing Fax Number | 3346994084 |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2011-08-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 1079259 | AL | Other Service Providers |
| Street Address |
137 CLINIC DR |
| City | DOTHAN |
| State | AL |
| Zip Code | 36303-1992 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710963756 | Amy Franklin | Nurse Practitioner | 137 Clinic Dr, Dothan, AL 36303-1992 | 2005-12-21 |
| 1932665221 | Amanda Tuttle | Nurse Practitioner | 137 Clinic Dr, Dothan, AL 36303-1992 | 2019-02-12 |
| 1134322217 | Allison Elizabeth Marker | Obstetrics & Gynecology | 137 Clinic Dr, Dothan, AL 36303-1992 | 2007-06-07 |
| 1942274998 | Robert S Cleveland | Obstetrics & Gynecology | 137 Clinic Dr, Dothan, AL 36303-1992 | 2006-02-15 |
| 1437123692 | Scott A Gilchrist | Obstetrics & Gynecology | 137 Clinic Dr, Dothan, AL 36303-1992 | 2006-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194205740 | Emblom & Vaughn, D.m.d., PC | Dentist | 318 Healthwest Dr., Dothan, AL 36303 | 2018-08-14 |
| 1164887907 | Bio-medical Applications of Alabama, Inc. | Clinic/Center | 118 Obrannan Park Drive, Dothan, AL 36303 | 2015-12-21 |
| 1245634245 | Api Counseling, LLC | Community/Behavioral Health | 1583 Montgomery Highway, Dothan, AL 36303 | 2014-10-20 |
| 1467792382 | Bolanle Boladale Akinduro | Home Health | 107 Hidden Glen Way, Dothan, AL 36303 | 2013-03-01 |
| 1104162114 | Al Dental PC | Dentist | 3400 Montgomery Highway, Dothan, AL 36303 | 2012-12-19 |
| 1659661874 | Juanita Titrud Heersink | Internal Medicine | 210 Westside Drive, Dothan, AL 36303 | 2011-04-08 |
| 1790918548 | Brandi Bradshaw Reeves | Counselor | 100 Westside Dr., Dothan, AK 36303 | 2009-08-27 |
| 1396917589 | Brian Davis | Physical Therapist | 3763 Ross Clark Circle, Dothan, AL 36303 | 2008-03-27 |
| 1558544544 | Healthwest Dental Associates PC | Dentist | 502 Healthwest Drive, Dothan, AL 36303 | 2007-12-12 |
| 1770644775 | Christine Carroll Fain | Occupational Therapist | 3763 Ross Clark Cir Ste 1, Alacare Home Health, Dothan, AL 36303 | 2006-12-13 |
| Find all providers in zip 36303 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003247842 | Southern Cardiovascular Care, PC | Specialist | 1800 Fairview Ave Ste 1, Dothan, AL 36301-3059 | 2013-12-04 |
| 1639489313 | Robert Fort Hambaugh Jr. | Specialist | 712 Woodland Drive, Dothan, AL 36301 | 2010-10-15 |
| 1578713186 | Laura Brumfield-collier | Specialist | 103 Wembley Ct, Dothan, AL 36305-6355 | 2008-09-19 |
| 1891862041 | Julianne Louise Wright | Specialist | 2323 W Main St, Suite 107, Dothan, AL 36301-1292 | 2006-11-30 |
| 1306913553 | Joseph Henry Bateman | Specialist | 430 W. Main St., Suite 1, Dothan, AL 36301 | 2006-11-30 |
| 1922030360 | Neuro-eval, P.C. | Specialist | 105 N Pontiac Ave, Suite 1, Dothan, AL 36303-3959 | 2006-07-07 |
| 1518912351 | Womens Healthcare of Dothan PC | Specialist | 4300 W. Main, Suite 31, Dothan, AL 36305 | 2006-05-23 |
| 1255393187 | Steven D Harris | Specialist | 102 Doctors Dr, Dothan, AL 36301-2911 | 2006-04-05 |
| 1760444608 | Joe Frank Smith | Specialist | 4300 W Main St Ste 403, Dothan, AL 36305-1314 | 2006-04-05 |
| 1689636086 | Frederick Kent Nunnally | Specialist | 112 Haven Dr, Suite 1, Dothan, AL 36301-2907 | 2006-04-03 |
| Find all providers in DOTHAN | ||||
Please comment or provide details below to improve the information on MRS. CANDACE N 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.