Elizabeth Ann Short I, RN

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

RN314529 Issued in OH

Practice address

113 E Central Ave
West Carrollton, OH 45449-1843

Phone

(937) 247-9015

NPI assigned

Nov 7, 2017

Last updated

Jun 16, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/recoveryworkshealingcenter/r4/

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

• Recovery Works Holding Company LLC

  dba Recovery Works Healing Center LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Dayton, OH
  • NPI 1376910505
  NPD (past)
• Recovery Works Holding Company LLC

  dba Recovery Works Healing Center LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Dayton, OH
  • NPI 1801316971
  NPD (past)

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

{
    "created_epoch": "1510012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1295248763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4640 FREDERICK PIKE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454143921",
            "telephone_number": "937-559-4266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 E CENTRAL AVE",
            "city": "WEST CARROLLTON",
            "state": "OH",
            "postal_code": "454491843",
            "telephone_number": "937-247-9015"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "705 S Brown School Rd",
            "address_purpose": "LOCATION",
            "city": "Vandalia",
            "state": "OH",
            "postal_code": "453773113",
            "country_code": "US",
            "telephone_number": "937-890-5400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Elmwood Park Dr",
            "address_purpose": "LOCATION",
            "city": "West Carrollton",
            "state": "OH",
            "postal_code": "454495402",
            "country_code": "US",
            "telephone_number": "937-384-0580",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHORT",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "name_suffix": "I",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-07",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN314529",
            "primary": false
        },
        {
            "code": "163WA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "RN314529",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "OH",
            "license": "RN314529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rei Scott
• Tyra Scott
• Barbara E. Shanahan
• Chelsea Amyn Paige Shetter
• Greg L Shetter
• Stephen Simpson, QMHS/CMS
• Chelsea Elizabeth Smith, LSW
• Kaitlyn A Spitzer, LSW
• Kesler Spung
• Lacey Jane Steele, BT

• Psychiatric/Mental Health Registered Nurse in West Carrollton, OH
• Providers in West Carrollton, OH by specialty
• Psychiatric/Mental Health Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.