Kristi Short

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

22002215A Issued in IN

Practice address

2312 S Dixon Rd Ste 250
Kokomo, IN 46902-6426

Phone

(765) 459-7275

Fax

(800) 805-4620

NPI assigned

Nov 19, 2020

Last updated

Nov 19, 2020By 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

Enrolled in IN

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Elite Therapy CorpGroup PAC ID 8224370242, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Elite Therapy Corp

  • Physical Therapist
  • Kokomo, IN
  • NPI 1235693300
  Medicare reassignment Care Compare group
• Creative Health Care Management LLC

  dba Vertis Therapy

  • Physical Therapist
  • Fishers, IN
  • NPI 1902350457

  Speech-Language Pathologist

  Medicare reassignment NPD
• Creative Health Care Management LLC

  dba Vertis Therapy

  • Physical Therapist
  • Kansas City, KS
  • NPI 1033866975

  Speech-Language Pathologist

  NPD
• Elite Therapy Corp

  • Rehabilitation Clinic/Center
  • Lafayette, IN
  • NPI 1306493119
  NPD (past)

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

{
    "created_epoch": "1605744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605744000000",
    "number": "1417550658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 BAGLEY DR W",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469023256",
            "telephone_number": "765-210-2287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2312 S DIXON RD STE 250",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469026426",
            "telephone_number": "765-459-7275",
            "fax_number": "800-805-4620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHORT",
        "first_name": "KRISTI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-19",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "22002215A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shock Kokomo, LLC (Compassionate Dentistry)
• Jennifer D. Shook, NP
• Shoreline Anesthesia, LLC
• Katie Lee Short, D.C.
• Kinley Short
• Bobbi J Siccardi, LCSW
• Anshu Sidana, MD
• Audrey Sieferman
• Gwendolyn Sierks
• Whitney Marie Sievertson

• Speech-Language Pathologist in Kokomo, IN
• Providers in Kokomo, IN by specialty
• Speech-Language Pathologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.