Kendria Short

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

902256 Issued in MS

Practice address

2219 Greenway Dr
Jackson, MS 39204-3202

Phone

(601) 983-7494

NPI assigned

Jul 6, 2018

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 MS, TX, TN3 enrollments

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 3

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kshort17246@direct-prd.molinahealthcare.com
• Direct secure messaging: kendria.short.p1@direct.alegiscare.nextgenshare.com

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.

• Fitness Clinic Wellness

  • Physical Therapist
  • Jackson, MS
  • NPI 1912352022

  Family

  Medicare reassignment NPD
• Community Care Health Network LLC

  • Nurse Practitioner
  • Nashville, TN
  • NPI 1619368842

  MS

  Medicare reassignment NPD
• Molina Care Connections, LLC.

  • Nurse Practitioner
  • Long Beach, CA
  • NPI 1407243223

  MS, TX

  Medicare reassignment NPD
• Monogram Health Professional Services PC

  • Nephrology Physician
  • Brentwood, TN
  • NPI 1326655986

  Family, MS

  Medicare reassignment NPD
• Purposed Transportation, LLC

  • Non-emergency Medical Transport (VAN)
  • Byram, MS
  • NPI 1356292387
  NPD Authorized official
• Monogram Health Professional Services PC

  • Nephrology Physician
  • Brentwood, TN
  • NPI 1134739089

  Family

  NPD
• Fitness Clinic

  • Physical Therapist
  • Jackson, MS
  • NPI 1497027775
  NPD (past)

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

{
    "created_epoch": "1530835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530835200000",
    "number": "1437645017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2219 GREENWAY DR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392043202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2219 GREENWAY DR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392043202",
            "telephone_number": "601-983-7494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHORT",
        "first_name": "KENDRIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-06",
        "last_updated": "2018-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "902256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lachlan Pierce Shiver
• Miriam Marie Shoemaker
• Jared Shore, ATC.,LAT
• Sarah Enstrom Shore, FNP-C
• Jennifer C Shores, M.D.
• Trevor Short, MD
• Valerie Short, MD
• Casey Shows, AGACNP
• Cullen Tomme Shows
• Robyn May Shows, CRNA

• Family Nurse Practitioner in Jackson, MS
• Providers in Jackson, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.