Active NPI
Helen Ann Short, M.D.
- Psychiatry Physician
- Waco, TX
National Provider Identifier
1164581963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- K0196
- Practice address
- 3501 N 19TH St
Waco, TX 76708-2007 - Phone
- (254) 745-5105
- NPI assigned
- Dec 7, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | K0196 | TX | Primary |
Addresses
Primary practice location
3501 N 19TH St
Waco, TX 76708-2007
Mailing address
3501 N 19TH St
Waco, TX 76708-2007
Phone (254) 745-5105
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 81M309 | Medicaid | TX |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| K0196 | TX | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1164581963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3501 N 19TH ST",
"city": "WACO",
"state": "TX",
"postal_code": "767082007",
"telephone_number": "254-745-5105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3501 N 19TH ST",
"city": "WACO",
"state": "TX",
"postal_code": "767082007",
"telephone_number": "254-745-5105"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHORT",
"first_name": "HELEN",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "K0196",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "81M309",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Waco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.