Active NPI
Meghan Short, PRSS
- Peer Specialist
- Ravenna, OH
National Provider Identifier
1548026370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- APS.004689
- Practice address
- 223 W Main St
Ravenna, OH 44266-2741 - Phone
- (330) 577-4099
- NPI assigned
- Feb 28, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | APS.004689 | OH | Primary |
Addresses
Primary practice location
223 W Main St
Ravenna, OH 44266-2741
Mailing address
459 W Streetsboro St Apt C
Hudson, OH 44236-2068
Phone (661) 703-7232
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APS.004689 | OH | MD | Peer Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709078400000",
"number": "1548026370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "459 W STREETSBORO ST APT C",
"city": "HUDSON",
"state": "OH",
"postal_code": "442362068",
"telephone_number": "661-703-7232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "223 W MAIN ST",
"city": "RAVENNA",
"state": "OH",
"postal_code": "442662741",
"telephone_number": "330-577-4099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHORT",
"first_name": "MEGHAN",
"credential": "PRSS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-02-28",
"last_updated": "2024-02-28",
"certification_date": "2024-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "OH",
"license": "APS.004689",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ravenna, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.