Delicia Promise Short

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

629 12TH St
Modesto, CA 95354-2424

Phone

(209) 558-9675

Fax

(209) 558-2154

NPI assigned

Mar 11, 2024

Last updated

Mar 11, 2024By 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

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

{
    "created_epoch": "1710115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1528826781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 12TH ST",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953542424",
            "telephone_number": "209-558-9675",
            "fax_number": "209-558-2154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 12TH ST",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953542424",
            "telephone_number": "209-558-9675",
            "fax_number": "209-558-2154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHORT",
        "first_name": "DELICIA",
        "middle_name": "PROMISE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-11",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fatemeh Shirvani, PHYSICAL THERAPY
• Salwa Youel Shmouel I
• Nancy Elaine Shoji, O.D.
• Madhu Shokeen, MD
• Michelle Shone
• Doris Short, RADT 1
• Kelly Shouse, FNP-C
• Creston Showen
• Hailey Shuayto
• Megan Shuayto

• Community Health Worker in Modesto, CA
• Providers in Modesto, CA by specialty
• Community Health Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; 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.