KELLI J SHORT (NPI# 1932177961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932177961 |
| Entity Type | Individual |
| Full Name | KELLI J SHORT |
| Credential | FNP |
| Practice Address |
551 Eaker Street Eden TX 76837-0989 |
| Mailing Address |
Po Box 172 Lohn TX 76852-0172 |
| Practice Telephone | 3258698811 |
| Practice Fax Number | 3258698899 |
| Mailing Telephone | 3253445566 |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2011-11-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
629727 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134471899 | Kelli Short | Physical Therapist | 34 Mountain Blvd, Warren, NJ 07059-2640 | 2012-10-04 |
| Street Address |
551 EAKER STREET |
| City | EDEN |
| State | TX |
| Zip Code | 76837-0989 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700862166 | Pedro Castro | General Practice | 551 Eaker Street, Eden, TX 76837 | 2005-12-19 |
| 1265883540 | Tonya Rochelle Boyett | Social Worker | 551 Eaker Street, Frontera Healthcare Network, Eden, TX 76837 | 2016-06-28 |
| 1528258555 | Frontera Healthcare Network | Clinic/Center | 551 Eaker Street, Eden, TX 76837-0889 | 2007-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912497579 | Girly Orlando Tubayan | Physical Therapy Assistant | 613 Eaker Street, Eden, TX 76837 | 2018-05-18 |
| 1134252570 | City of Eden | Ambulance | 102 Gordon St., Eden, TX 76837 | 2007-03-14 |
| 1710989595 | Provider Healthcare Services of Concho Lp | Skilled Nursing Facility | 613 Eaker St, Eden, TX 76837 | 2005-08-11 |
| 1649815283 | Jakalyn Jane Gossett | Physician Assistant | 614 Eaker St, Eden, TX 76837 | 2019-11-07 |
| 1649557737 | Concho County Hospital | General Acute Care Hospital | 614 Eaker St., Suite 100, Eden, TX 76837 | 2011-11-03 |
| 1447403118 | Eden II Enterprises, LLC | Skilled Nursing Facility | 613 Eaker St, Eden, TX 76837 | 2008-10-28 |
| 1477855013 | Eden Ems Inc | Ambulance | 102 Gordon St, Eden, TX 76837-0000 | 2010-12-02 |
| 1205375037 | Frontera Healthcare Network | Clinic/Center | 212 Jackson Street, Eden, TX 76837-0246 | 2017-02-13 |
| 1861510927 | Dalyn J Johnson | Dentist | 212 Jackson St., Eden, TX 76837-0246 | 2007-03-27 |
| 1033103726 | Joseph L Feldhaus | Family Medicine | 506 Eaker, Eden, TX 76837-0967 | 2005-09-08 |
| Find all providers in zip 76837 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952967424 | Terra Scarlette Beek | Nurse Practitioner | 520 S Van Buren Rd Ste 1, Eden, NC 27288-5079 | 2019-05-10 |
| 1962563940 | Barbara Collins Tanner | Nurse Practitioner | 134 North Pierce Street, Morehead High School Student Health Center, Eden, NC 27288 | 2006-12-13 |
| 1023079043 | Keavie C. Hairfield | Nurse Practitioner | 405 Thompson St, Eden, NC 27288-5045 | 2006-03-29 |
| 1619522414 | Taylor Beth Woodson | Nurse Practitioner | 405 Thompson St, Eden, NC 27288-5045 | 2019-08-08 |
| 1609348473 | Britney Farrington Joyce | Nurse Practitioner | 515 Thompson St Ste D, Eden, NC 27288-5040 | 2018-12-18 |
| 1033693932 | Jason Christopher Vaughn | Nurse Practitioner | 207 E Meadow Rd Ste 6, Eden, NC 27288-3469 | 2018-09-18 |
| 1578988689 | Fran Hobson | Nurse Practitioner | 507 Highland Park Dr, Eden, NC 27288-4936 | 2014-02-26 |
| 1649609389 | Donna Gayle Buist | Nurse Practitioner | 250 W Kings Hwy, Eden, NC 27288-5010 | 2013-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487255162 | Shaida Rahmatinick | Nurse Practitioner | 1515 W 22nd St, Houston, TX 77008-1501 | 2020-11-08 |
| 1891396586 | Stacey Lynne Ready | Nurse Practitioner | 200 Uptmore Rd, West, TX 76691-2339 | 2020-11-08 |
| 1992306609 | Jillian Mcclintock | Nurse Practitioner | 2506 Graystone Ln, Corinth, TX 76210-1607 | 2020-11-08 |
| 1851992515 | Stacie A Gregg | Nurse Practitioner | 1229 Johnny Ln, San Angelo, TX 76905-2331 | 2020-11-07 |
| 1285235929 | Activate Family Health, Pllc | Nurse Practitioner | 203 E Davis St Ste F-1026, Conroe, TX 77301-3159 | 2020-11-07 |
| 1629679782 | Kristen Aili Johnson | Nurse Practitioner | 3850 Fm 18, Abilene, TX 79602-2004 | 2020-11-05 |
| 1376144303 | Stephanie Renee Knight | Nurse Practitioner | 4326 Egret Dr, Seabrook, TX 77586-2557 | 2020-11-05 |
| 1457952319 | Olufunke Oyindamola Oshoba | Nurse Practitioner | 200 Odyssey Ln, Mansfield, TX 76063-3438 | 2020-11-05 |
| 1518568419 | Ian Mardis | Nurse Practitioner | 12528 Tierra Encino Dr, El Paso, TX 79938-4525 | 2020-11-05 |
| 1851992994 | Angela Davis | Nurse Practitioner | 9523 Scanlan Heights Ln, Missouri City, TX 77459-5503 | 2020-11-05 |
| Find all providers with the same taxonomy | ||||
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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.