Active NPI
Casey Joseph Short, RN
- Family Nurse Practitioner
- Gooding, ID
National Provider Identifier
1033070511
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 8671393
- Practice address
- 267 N Canyon Dr
Gooding, ID 83330-5500 - Phone
- (208) 934-4433
- NPI assigned
- Nov 24, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 8671393 | ID | Primary |
Addresses
Primary practice location
267 N Canyon Dr
Gooding, ID 83330-5500
Mailing address
267 N Canyon Dr
Gooding, ID 83330-5500
Phone (208) 934-4433
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8671393 | ID | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1763942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782259200000",
"number": "1033070511",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "267 N CANYON DR",
"city": "GOODING",
"state": "ID",
"postal_code": "833305500",
"telephone_number": "208-934-4433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "267 N CANYON DR",
"city": "GOODING",
"state": "ID",
"postal_code": "833305500",
"telephone_number": "208-934-4433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHORT",
"first_name": "CASEY",
"middle_name": "JOSEPH",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-11-24",
"last_updated": "2026-06-24",
"certification_date": "2026-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "ID",
"license": "8671393",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gooding, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.