SANDRA L SHORT (NPI# 1598005027) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598005027 |
| Entity Type | Individual |
| Full Name | SANDRA L SHORT |
| Credential | ANP-BC |
| Practice Address |
360 W Loudon Ave Lexington KY 40508 |
| Mailing Address |
496 Southland Dr Lexington KY 40503-1827 |
| Practice Telephone | 8593889033 |
| Practice Fax Number | 8597213918 |
| Mailing Telephone | 8592882392 |
| Mailing Fax Number | 8597213918 |
| Enumeration Date | 2013-02-20 |
| Last Update Date | 2019-05-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
3007737 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100247640 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1720 Nicholasville Rd, Suite 302, Lexington, KY 405031404 | 8592764382 | 8592760692 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922590843 | Sandra Burnley Short | Physical Therapy Assistant | 5 Otis Ct, New Freedom, PA 17349-9755 | 2018-06-06 |
| Street Address |
360 W LOUDON AVE |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033262639 | Virginia K Taylor | Nurse Practitioner | 360 W Loudon Ave, Lexington, KY 40508-3729 | 2007-01-19 |
| 1922423359 | Healthfirst Bluegrass Inc | Clinic/Center | 360 W Loudon Ave, Lexington, KY 40508-3729 | 2014-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265906192 | Core Chiropractic and Family Wellness Pllc | Clinic/Center | 524 E.second St, Lexington, KY 40508 | 2019-01-14 |
| 1831669720 | Lily Namegabe | Community Health Worker | 135 Newtown Pike Bldg 1, Lexington, KY 40508 | 2018-12-04 |
| 1669994091 | Shawn Luchtefeld | Counselor | 289 W Loudon Ave, Lexington, KY 40508 | 2017-07-07 |
| 1861808271 | Rucha Shukla | Pediatrics | 138 Leader Ave Rm 9a, Lexington, KY 40508 | 2014-07-07 |
| 1881012946 | Peter Movilla | Obstetrics & Gynecology | Uk Women's Health Obstetrics and Gynecology, 125 E Maxwell St Ste 140, Lexington, KY 40508 | 2014-04-04 |
| 1255753422 | Candace Cross | Social Worker | Kentucky Counseling Center, LLC, 1353 West Main Street, Kentucky, Lexington, KY 40508 | 2014-01-07 |
| 1467896845 | Andrew Russell Roads | Psychiatry & Neurology | Uk University Health Service, 830 S Limestone, Lexington, KY 40508 | 2013-04-29 |
| 1104119890 | Thomas Michael Isaacs | Pharmacist | 130 W. Loudon Ave, Lexington, KY 40508 | 2011-05-27 |
| 1174839401 | Gerardo Manuel Heredia Melero | Obstetrics & Gynecology | Uk Obgyn, 125 E. Maxwell Street, Lexington, KY 40508 | 2010-08-24 |
| 1558512814 | Cortney Youens Lee | Surgery | 125 E. Maxwell St, Suite 302, Lexington, KY 40508 | 2008-10-06 |
| Find all providers in zip 40508 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528526084 | Cheryl Renee Partridge | Nurse Practitioner | 16161 Moffat Rd., Lexington, OK 73051 | 2019-03-04 |
| 1912447616 | Jessica Wilson | Nurse Practitioner | 740 S Limestone J401, Lexington, KY 40536-0001 | 2017-02-28 |
| 1841652088 | Stephanie Hopkins Millhouse | Nurse Practitioner | 123 Bruin Dr, Lexington, SC 29073-6820 | 2016-03-27 |
| 1922446210 | Lauren Mackenzie Williams | Nurse Practitioner | 1718 Alexandria Dr Ste 101, Lexington, KY 40504-3161 | 2013-06-07 |
| 1275533572 | Cynthia A Miller | Nurse Practitioner | 104 W Medical Park Dr, Lexington, NC 27292-6773 | 2005-07-28 |
| 1508422288 | Natalie Gwyn Evett | Nurse Practitioner | 1351 Newtown Pike Bldg 1, Lexington, KY 40511-1277 | 2019-05-17 |
| 1093267577 | High Rock Internal Medicine | Nurse Practitioner | 104 W Medical Park Dr, Lexington, NC 27292-6773 | 2016-10-31 |
| 1245693704 | Lauren Davis | Nurse Practitioner | Uk Division of Cardiology, 900 S. Limestone, Lexington, KY 40536-0200 | 2016-04-01 |
| 1710394564 | Jessica Sandler | Nurse Practitioner | 2312 Alexandria Dr, Lexington, KY 40504-3229 | 2014-07-14 |
| 1730520388 | Mitzi Dignos Williams | Nurse Practitioner | 9486 Highway 412 W, Lexington, TN 38351-5713 | 2013-07-11 |
| Find all providers in LEXINGTON | ||||
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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.