Lindsey Short, ATC

Primary specialty

Health EducatorTaxonomy code 174H00000X

License

2601001582 Issued in MI

Practice address

3411 Willow Lake Dr
Apt 205
Kalamazoo, MI 49008-2614

Phone

(575) 635-0853

NPI assigned

Jan 20, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1421712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452816000000",
    "number": "1639568264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3411 WILLOW LAKE DR APT 205",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490082678",
            "telephone_number": "575-635-0853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3411 WILLOW LAKE DR",
            "address_2": "APT 205",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490082614",
            "telephone_number": "575-635-0853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHORT",
        "first_name": "LINDSEY",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-20",
        "last_updated": "2016-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NM",
            "license": null,
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "MI",
            "license": "2601001582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shivani Shodhan, MD, MPH
• Allison Shoemaker
• Jaime Lynn Shoemaker, ANP
• John Arthur Shorey, MA, CADC
• David D Short, R.PH., MBA
• Ronda Kay Shorter, MSN, RN, PMHNP-BC
• Jennifer Elizabeth Shoup, PT
• Mahesh Shrestha, MD
• James Leonard Shubert, D.O.
• Kevin Allen Shugars, DDS

• Health Educator in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Health Educator in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2016; 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.