Katie Lee Short, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6340 Issued in CO

Practice address

1542 S Dixon Rd Ste I
Kokomo, IN 46902-7320

Phone

(765) 868-6000

NPI assigned

Feb 19, 2009

Last updated

Mar 17, 2018By the provider in NPPES

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

Enrolled in IN

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 2008

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Standley Lake Chiropractic Health Center, P.C.

  • Chiropractor
  • Westminster, CO
  • NPI 1730382565
  NPD (past)

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

{
    "created_epoch": "1235001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1902045636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1542 S DIXON RD STE I",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469027320",
            "telephone_number": "765-868-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1542 S DIXON RD STE I",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469027320",
            "telephone_number": "765-868-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5120 Eldridge St",
            "address_purpose": "LOCATION",
            "city": "Golden",
            "state": "CO",
            "postal_code": "804031765",
            "country_code": "US",
            "telephone_number": "720-935-3767",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHORT",
        "first_name": "KATIE",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-19",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "6340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shmily Productions LLC (You're In CONTROL)
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• Jennifer D. Shook, NP
• Shoreline Anesthesia, LLC
• Kinley Short
• Kristi Short
• Bobbi J Siccardi, LCSW
• Anshu Sidana, MD
• Audrey Sieferman

• Chiropractor in Kokomo, IN
• Providers in Kokomo, IN by specialty
• Chiropractor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.