Individual provider Active NPI

Jaime Marie Short, PA-C

  • Medical Physician Assistant
  • Brighton, CO
National Provider Identifier
1023742111
Registry record updated Dec 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
0008705 Issued in CO
Practice address
Premier Pediatrics-1606 Prairie Center Pkwy
Suite 300
Brighton, CO 80601
Phone
(303) 655-1685
Fax
(303) 655-1703
NPI assigned
Jul 13, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 0008705 CO Primary

Addresses

Primary practice location

Premier Pediatrics-1606 Prairie Center Pkwy
Suite 300
Brighton, CO 80601

Mailing address

Premier Pediatrics-1606 Prairie Center Pkwy
Suite 300
Brighton, CO 80601
Phone (303) 655-1685

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0008705COMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Hospital Colorado Current Accepting new patients
Rocky Vista Health Center LLC PastSince Jul 1, 2022 Accepting new patients
Premier Pediatrics, Inc Past Accepting new patients
Children's Hospital Colorado-Premier Pediatrics, Inc. Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8078/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/801/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jshort261755@direct.childrenscolorado.org
  • Direct secure messaging: jaime.short.1@801.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1657670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735171200000",
    "number": "1023742111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PREMIER PEDIATRICS-1606 PRAIRIE CENTER PKWY",
            "address_2": "SUITE 300",
            "city": "BRIGHTON",
            "state": "CO",
            "postal_code": "80601",
            "telephone_number": "303-655-1685",
            "fax_number": "303-655-1703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PREMIER PEDIATRICS-1606 PRAIRIE CENTER PKWY",
            "address_2": "SUITE 300",
            "city": "BRIGHTON",
            "state": "CO",
            "postal_code": "80601",
            "telephone_number": "303-655-1685",
            "fax_number": "303-655-1703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHORT",
        "first_name": "JAIME",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-13",
        "last_updated": "2024-12-26",
        "certification_date": "2022-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "0008705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brighton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.