Sarah V Shortbull

Primary specialty

Social WorkerTaxonomy code 104100000X

License

460309601 Issued in SD

Practice address

1028 Walnut St
Yankton, SD 57078-2910

Phone

(605) 665-4606

Fax

(605) 665-4673

NPI assigned

Mar 25, 2014

Last updated

Mar 25, 2014By 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

Practice roles

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.

• Lewis & Clark Behavioral Health Services, Inc.

  • Community/Behavioral Health Agency
  • Yankton, SD
  • NPI 1215918339

  Social Worker

  NPD (past)
• Lewis & Clark Mental Health Center

  dba Lewis & Clark Behavioral Health Services

  • Mental Health Counselor
  • Yankton, SD
  • NPI 1972862969
  NPD (past)

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

{
    "created_epoch": "1395705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395705600000",
    "number": "1578980868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1028 WALNUT ST",
            "city": "YANKTON",
            "state": "SD",
            "postal_code": "570782910",
            "telephone_number": "605-665-4606",
            "fax_number": "605-665-4673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1028 WALNUT ST",
            "city": "YANKTON",
            "state": "SD",
            "postal_code": "570782910",
            "telephone_number": "605-665-4606",
            "fax_number": "605-665-4673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHORTBULL",
        "first_name": "SARAH",
        "middle_name": "V",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-25",
        "last_updated": "2014-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "SD",
            "license": "460309601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• SD Human Services Center
• Amanda Sedlacek, DO
• Luke C Serck, MD
• Shawd Downtown Dental P.C.
• Alesha Shoemate
• Sherlon Orin Sinclair, M.D.
• Lindy Slagle
• Richard Slattery
• Diana Smallwood, LCSW-PIP
• Keley Anne Smith-Keller, LPC

• Social Worker in Yankton, SD
• Providers in Yankton, SD by specialty
• Social Worker in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2014; 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.