Individual provider Active NPI

Taylor Lynn Short, FNP-C

  • Family Nurse Practitioner
  • Wauseon, OH
National Provider Identifier
1447736939
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP025404 Issued in OH
Practice address
735 S Shoop Ave
Wauseon, OH 43567-1735
Phone
(419) 335-3242
NPI assigned
Jul 17, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN-2483 HI
Family Nurse Practitioner 363LF0000X CNP025404 OH Primary

Addresses

Primary practice location

735 S Shoop Ave
Wauseon, OH 43567-1735

Mailing address

735 S Shoop Ave
Wauseon, OH 43567-1735
Phone (419) 335-3242

Other practice location 1

1200 Ralston Ave
Defiance, OH 43512-1396
Phone (419) 783-6955

Other practice location 2

86-260 Farrington Hwy
Waianae, HI 96792-3128
Phone (808) 697-3300

Other practice location 3

313 Jefferson Ave
Toledo, OH 43604-1004
Phone (419) 720-7883 ext. 239

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tshort189884@epicdirect.promedica.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI, OH2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20181030000283 HI Practitioner - Nurse Practitioner 6608129226 Reassigns benefits to 1 organization
I20210819003375 OH Practitioner - Nurse Practitioner 6608129226 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Promedica Central PhysiciansGroup PAC ID 2365348190, 785 clinicians
FCHC Medical Care, LLCGroup PAC ID 8022018704, 58 clinicians

Practice addresses (Care Compare)

5700 Monroe St
Sylvania, OH 43560-2767
Phone (567) 585-0005

735 S Shoop Ave
Wauseon, OH 43567-1735
Phone (419) 335-2663

Hospital & facility affiliations

  • Ohioans Home Healthcare, Inc Home health agency, Perrysburg, OH, CCN 368247
  • Fulton County Health Center Hospital, Wauseon, OH, CCN 361333
  • Community Hospitals and Wellness Centers Hospital, Bryan, OH, CCN 360121

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN-2483HIMDFamily Nurse Practitioner
CNP025404OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Promedica Central Physicians CurrentSince Aug 1, 2021 Accepting new patients
Promedica Central Physicians CurrentSince Aug 1, 2021 Accepting new patients
FCHC Medical Care, LLC CurrentSince Apr 1, 2024 Accepting new patients
Waianae District Comprehensive Health and Hospital Board, Inc CurrentSince Feb 18, 2021 Accepting new patients

Locations

86-260 Farrington Hwy
Waianae, HI 96792
Phone (808) 696-7081

L3493
Columbus, OH 43260

L4133
Columbus, OH 43260

1200 Ralston Ave
Defiance, OH 43512
Phone (419) 783-6944

5700 Monroe St
Sylvania, OH 43560
Phone (419) 473-6622

2109 Hughes Dr
Ste 450
Toledo, OH 43606
Phone (419) 251-3112

100 Madison Ave
Toledo, OH 43604
Phone (567) 585-1964

725 S Shoop Ave
Wauseon, OH 43567
Phone (419) 335-2015

735 S Shoop Ave
Wauseon, OH 43567
Phone (419) 335-2663

Interoperability endpoints

  • Direct secure messaging: taylorshort@nha.allscriptsdirect.net
  • Direct secure messaging: taylor.short.p1@direct.wcchc.nextgenshare.com

Organizations & group practices 5

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 3

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": "1531785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745884800000",
    "number": "1447736939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 S SHOOP AVE",
            "city": "WAUSEON",
            "state": "OH",
            "postal_code": "435671735",
            "telephone_number": "419-335-3242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 S SHOOP AVE",
            "city": "WAUSEON",
            "state": "OH",
            "postal_code": "435671735",
            "telephone_number": "419-335-3242"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 Ralston Ave",
            "address_purpose": "LOCATION",
            "city": "Defiance",
            "state": "OH",
            "postal_code": "435121396",
            "country_code": "US",
            "telephone_number": "419-783-6955",
            "fax_number": "419-782-7580",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "86-260 Farrington Hwy",
            "address_purpose": "LOCATION",
            "city": "Waianae",
            "state": "HI",
            "postal_code": "967923128",
            "country_code": "US",
            "telephone_number": "808-697-3300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "313 Jefferson Ave",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436041004",
            "country_code": "US",
            "telephone_number": "419-720-7883 x239",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHORT",
        "first_name": "TAYLOR",
        "middle_name": "LYNN",
        "name_prefix": "Mr.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-17",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "APRN-2483",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "CNP025404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tshort189884@epicdirect.promedica.org",
            "affiliation": "N",
            "address_1": "100 Madison Ave",
            "city": "Toledo",
            "state": "OH",
            "country_code": "US",
            "postal_code": "436041516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wauseon, OH

Sources for this page

Verify at the official NPI Registry.