MRS. AMY PARR SHORTRIDGE (NPI# 1457522252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457522252 |
| Entity Type | Individual |
| Full Name | MRS. AMY PARR SHORTRIDGE |
| Credential | FNP-C |
| Practice Address |
111 E Third Ave Gastonia NC 28052-4343 |
| Mailing Address |
200 E 2nd Ave Gastonia NC 28052-4358 |
| Practice Telephone | 7048743300 |
| Practice Fax Number | 7048740065 |
| Mailing Telephone | 7048741904 |
| Mailing Fax Number | 7048672134 |
| Enumeration Date | 2008-03-19 |
| Last Update Date | 2019-11-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
50-03928 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7004138 | 05 |
| Street Address |
111 E THIRD AVE |
| City | GASTONIA |
| State | NC |
| Zip Code | 28052-4343 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467458588 | Jean Lazenby Benton | Nurse Practitioner | 111 E Third Ave, Gastonia, NC 28052-4343 | 2005-06-23 |
| 1346528734 | Thuy T Ho | Physician Assistant | 111 E Third Ave, Gastonia, NC 28052-4343 | 2011-08-02 |
| 1245350305 | Tammy S. Palumbo | Dietitian, Registered | 111 E Third Ave, Gastonia, NC 28052-4343 | 2007-03-30 |
| 1932152121 | Shana Danette James-nzambele | Family Medicine | 111 E Third Ave, Gastonia, NC 28052-4343 | 2006-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053859488 | Aa Plus Family Care Services, LLC | Custodial Care Facility | 190- B South Street, Gastonia, NC 28052 | 2017-02-06 |
| 1487028098 | Stefanie Mann | Counselor | 165 West Franklin Blvd., Gastonia, NC 28052 | 2015-11-19 |
| 1659771343 | Latisha Marsh | Pharmacist | 233 North Myrtle School, Gastonia, NC 28052 | 2014-08-29 |
| 1730598616 | Erin Flitt | Nurse Practitioner | 425 North Marietta Street, Gastoni, NC 28052 | 2014-08-05 |
| 1568877199 | Ebony Kyerra Kennedy | Pharmacist | 2206 West Franklin Blvd, Gastonia, NC 28052 | 2014-06-23 |
| 1821364209 | Harcharan Singh | Ophthalmology | 111 E.third Avenue, Gaston Family Medical Center, Gastonia, NC 28052 | 2012-03-29 |
| 1437475365 | Evelyn B Mcgill | Counselor | 102 N Yates Street, Gastonia, NC 28052 | 2010-04-16 |
| 1568696680 | Fafli Inc | Community/Behavioral Health | 175 W. Main Avenue, Gaston County, NC 28052 | 2009-05-04 |
| 1558570630 | Peggy May Currie | Physical Therapist | 710 Marietta St., Suite B, Gastonia, NC 28052 | 2007-05-22 |
| 1275753352 | John Theodore Fox | Dentist | 601 S York St, Gastonia, NC 28052 | 2007-04-30 |
| Find all providers in zip 28052 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578172748 | Temeshia Lasha Spikes | Nurse Practitioner | 2555 Court Dr Ste 400, Gastonia, NC 28054-2180 | 2020-07-23 |
| 1558994699 | Wayne Edward Lawing | Nurse Practitioner | 1208 E Franklin Blvd Apt H, Gastonia, NC 28054-4259 | 2020-02-18 |
| 1790293223 | Gretchen Theresa Caldwell | Nurse Practitioner | 660 Summit Crossing Pl Ste 306, Gastonia, NC 28054-2183 | 2018-01-18 |
| 1922481894 | Alesha Nicole Logan | Nurse Practitioner | 1895 Hoffman Rd Ste A, Gastonia, NC 28054 | 2015-07-09 |
| 1912282674 | Julie Parker Thompson | Nurse Practitioner | 1006 Union Rd, Ste B, Gastonia, NC 28054-5591 | 2011-10-13 |
| 1881905180 | Billie Hsu | Nurse Practitioner | 2908 Audrey Dr, Gastonia, NC 28054-7268 | 2010-07-01 |
| 1033434519 | Lisa Marie Suddreth | Nurse Practitioner | 830 Summit Crossing Pl, Gastonia, NC 28054-2192 | 2010-03-29 |
| 1699824391 | Susan Paulette Payne | Nurse Practitioner | 1723 Armstrong Park Dr, Gastonia, NC 28054-4802 | 2007-01-10 |
| 1003992058 | Susanna M Shepard | Nurse Practitioner | 609 N Highland St, Gastonia, NC 28052-2179 | 2006-10-31 |
| 1629020581 | Donna Gayle Lee | Nurse Practitioner | 1075 E Hudson Blvd, Gastonia, NC 28054-1694 | 2006-05-17 |
| Find all providers in GASTONIA | ||||
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| 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.