Mary Jo Shorts, RN

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

552969 Issued in NY

Practice address

49 Grant St
Cortland, NY 13045-2136

Phone

(607) 753-6751

Fax

(607) 756-4306

NPI assigned

Mar 26, 2010

Last updated

Mar 26, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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

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.

• Cortland County Health Department Nursing Clinics

  • Medical Specialty Clinic/Center
  • Cortland, NY
  • NPI 1821165416
  NPD (past)

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

{
    "created_epoch": "1269561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269561600000",
    "number": "1326362898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 118",
            "city": "MC GRAW",
            "state": "NY",
            "postal_code": "131010118",
            "telephone_number": "607-758-6110",
            "fax_number": "607-758-6116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 GRANT ST",
            "city": "CORTLAND",
            "state": "NY",
            "postal_code": "130452136",
            "telephone_number": "607-753-6751",
            "fax_number": "607-756-4306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHORTS",
        "first_name": "MARY",
        "middle_name": "JO",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-26",
        "last_updated": "2010-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NY",
            "license": "552969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ning Shen, MD
• Lizabeth Sherman, ATC, CES
• Soo Yeon Shin
• Lisa Gale Sholar, LMSW, CSSW
• Deborah Lynne Short Siemer, M.A.
• Ann Handman Siegle
• Annmarie Antoinette Silburn, LPN
• Robbyn F Simons, LPN
• Baljinder Singh, DDS
• Dena Erway Sinnigen, LPN

• Psychiatric/Mental Health Registered Nurse in Cortland, NY
• Providers in Cortland, NY by specialty
• Psychiatric/Mental Health Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2010; 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.