Vicki L Short, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD00036610 Issued in WA

Practice address

2075 Barkley Blvd Ste 105
Bellingham, WA 98226-6614

Phone

(360) 671-3345

Fax

(360) 650-1354

NPI assigned

Jan 5, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: vshort19760@direct.fcn.net

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

{
    "created_epoch": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1114905577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2075 BARKLEY BLVD # 105",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982266614",
            "telephone_number": "360-671-3345",
            "fax_number": "360-650-1354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2075 BARKLEY BLVD STE 105",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982266614",
            "telephone_number": "360-671-3345",
            "fax_number": "360-650-1354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHORT",
        "first_name": "VICKI",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-05",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00036610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8231367",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eric D Short-Miller, PT
• Jason T Short, MD
• Jill Short, RN
• Tell James Short
• Terrah Elizabeth Short, SUDPT
• Kiley Laurene Shorthouse
• Dorothy Ellen Shreve, LMFT, LMHCA
• Nathaniel Shreve
• Shalom Maria Shreve, MAC
• Suzanne Shrock, RN

• Family Medicine Physician in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.