Lisa Short, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

37582 Issued in SC

Practice address

2070 Northbrook Blvd Ste A20
N Charleston, SC 29406-9324

Phone

(843) 953-0038

NPI assigned

Oct 18, 2022

Sex

Female

Sole proprietor

Yes

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1666051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666051200000",
    "number": "1750007910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2070 NORTHBROOK BLVD STE A20",
            "city": "N CHARLESTON",
            "state": "SC",
            "postal_code": "294069324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2070 NORTHBROOK BLVD STE A20",
            "city": "N CHARLESTON",
            "state": "SC",
            "postal_code": "294069324",
            "telephone_number": "843-953-0038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHORT",
        "first_name": "LISA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-18",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "SC",
            "license": "37582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gretchen Seif, PT PHYSICAL THERAPY
• Select Health of South Carolina, Inc.
• Serenity Manor
• Niravkumar Shah, PT, DPT
• Thomas Eugene Sherer, R.PH
• Jack L Shortridge, ED.D.
• Sarah Doobrow Silvis, P.A.
• Smileology Dental Clinic, LLC
• Aaron Robert Smith, M.D.
• Anna D Smith, APRN, FNP

• Registered Nurse in N Charleston, SC
• Providers in N Charleston, SC by specialty
• Registered Nurse in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; 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.