Individual provider Active NPI

Julia Lace Short, FNP-C

  • Family Nurse Practitioner
  • Palestine, TX
National Provider Identifier
1316510027
Registry record updated Jul 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1047920 Issued in TX
Practice address
4002 S Loop 256
Palestine, TX 75801-8491
Phone
(903) 731-5030
Fax
(903) 731-5037
NPI assigned
Jul 20, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1047920 TX Primary

Addresses

Primary practice location

4002 S Loop 256
Palestine, TX 75801-8491

Mailing address

4002 S Loop 256
Palestine, TX 75801-8491
Phone (903) 731-5030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210819003336 TX Practitioner - Nurse Practitioner 7214332832 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Specialty PhysiciansGroup PAC ID 6305901927, 59 clinicians

Practice addresses (Care Compare)

2900 S Loop
Suite 256
Palestine, TX 75801-6958
Phone (903) 731-1000

Hospital & facility affiliations

  • Home Care Network Home health agency, Palestine, TX, CCN 679086
  • Angels Care Home Health Home health agency, Palestine, TX, CCN 458433
  • Elara Caring Home health agency, Teague, TX, CCN 458346
  • Ut Health East Texas Home Health Services Home health agency, Athens, TX, CCN 677586
  • Palestine Regional Medical Center Hospital, Palestine, TX, CCN 450747

Merit-based Incentive Payment System (MIPS)

Final score
81.93 of 100Reported as group
Promoting interoperability
78
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1047920TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Specialty Physicians CurrentSince Aug 16, 2021 Accepting new patients
Texas Specialty Physicians CurrentSince Aug 16, 2021 Accepting new patients
Texas Specialty Physicians Family Current Accepting new patients

Locations

249 S Craig St
Buffalo, TX 75831
Phone (903) 322-1080

514 S Bonham St
Ste D
Mexia, TX 76667
Phone (254) 562-5961

4002 S Loop 256
Ste H
Palestine, TX 75801
Phone (903) 723-8800

4002 S Loop 256
Ste A
Palestine, TX 75801
Phone (903) 723-8800

2900 S Loop 256
Palestine, TX 75801
Phone (903) 731-1021

4000 S Loop 256
Palestine, TX 75801
Phone (903) 731-5000

4002 S Loop 256
Palestine, TX 75801
Phone (903) 731-5030

Interoperability endpoints

  • Direct secure messaging: julia.short.1@20210.direct.athenahealth.com

Organizations & group practices 3

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

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1626739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626739200000",
    "number": "1316510027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4002 S LOOP 256",
            "city": "PALESTINE",
            "state": "TX",
            "postal_code": "758018491",
            "telephone_number": "903-731-5030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4002 S LOOP 256",
            "city": "PALESTINE",
            "state": "TX",
            "postal_code": "758018491",
            "telephone_number": "903-731-5030",
            "fax_number": "903-731-5037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHORT",
        "first_name": "JULIA",
        "middle_name": "LACE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-20",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1047920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palestine, TX

Sources for this page

Verify at the official NPI Registry.