Elizabeth Black Shortsleeve, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

NPP37637 Issued in RI

Practice address

279 North St
Medfield, MA 02052-1211

Phone

(401) 258-2551

Fax

(855) 643-5020

NPI assigned

Sep 26, 2011

Last updated

Jul 7, 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

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 1

Specialty

Nurse Practitioner

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Charter LTC LLCGroup PAC ID 0840674578, 20 clinicians

Charter Health PCGroup PAC ID 1153604079, 26 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/86/brand/1/csg/1/fhir/r4

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.

• Charter Health PC

  • Internal Medicine Physician
  • Salem, MA
  • NPI 1750824124
  Medicare reassignment Care Compare group NPD
• Charter LTC LLC

  • Internal Medicine Physician
  • Salem, MA
  • NPI 1861129819
  Medicare reassignment Care Compare group NPD
• Mount Auburn Professional Services Inc

  • Internal Medicine Physician
  • Cambridge, MA
  • NPI 1992750996
  Medicare reassignment NPD
• Vibra Physicians LLC

  • Hospitalist Physician
  • Johnstown, CO
  • NPI 1659705424

  MA

  Medicare reassignment NPD
• Mt Auburn Professional Services

  dba Belmont Medical Associates

  • Internal Medicine Physician
  • Cambridge, MA
  • NPI 1013375203
  NPD

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

{
    "created_epoch": "1316995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404691200000",
    "number": "1700169711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 KILVERT ST",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028861379",
            "telephone_number": "401-258-2551",
            "fax_number": "855-643-5020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "279 NORTH ST",
            "city": "MEDFIELD",
            "state": "MA",
            "postal_code": "020521211",
            "telephone_number": "401-258-2551",
            "fax_number": "855-643-5020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHORTSLEEVE",
        "first_name": "ELIZABETH",
        "middle_name": "BLACK",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-26",
        "last_updated": "2014-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "RI",
            "license": "NPP37637",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2264330",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shaws Supermarkets Inc (Shaws Pharmacy #1414)
• Kiah L Shea, LCSW
• Ashley Shen, LCSW
• Sherwood Psychology, PLLC
• Lesley Irene Shore, PH.D.
• Rebecca Shusterman
• Kevin Silva
• Laurie Silva
• Mary Slattery Bennett, M.S., CCC-SP
• Mekenzie Smith, MS, RDN

• Family Nurse Practitioner in Medfield, MA
• Providers in Medfield, MA by specialty
• Family Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.