Active NPI
Debra Ann Short, FNP-C
- Family Nurse Practitioner
- White Salmon, WA
National Provider Identifier
1154623734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP60192028
- Practice address
- 181 W. Jewett Blvd
White Salmon, WA 98672 - Phone
- (509) 493-1470
- NPI assigned
- Dec 2, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 | AP60192028 | WA | Primary |
Addresses
Primary practice location
181 W. Jewett Blvd
White Salmon, WA 98672
Mailing address
PO Box 2319
White Salmon, WA 98672-2319
Phone (509) 493-1470
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110919000652 | WA | Practitioner - Nurse Practitioner | 0042481392 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380758400000",
"number": "1154623734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2319",
"city": "WHITE SALMON",
"state": "WA",
"postal_code": "986722319",
"telephone_number": "509-493-1470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "181 W. JEWETT BLVD",
"city": "WHITE SALMON",
"state": "WA",
"postal_code": "98672",
"telephone_number": "509-493-1470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHORT",
"first_name": "DEBRA",
"middle_name": "ANN",
"credential": "FNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-12-02",
"last_updated": "2013-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP60192028",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in White Salmon, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2013; 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.