Laurie Lynne Short, RN00129637

Primary specialty

Administrator Registered NurseTaxonomy code 163WA2000X

License

RN00129637 Issued in WA

Practice address

4515 Martin Luther King Jr Way S Ste 100
Seattle, WA 98108-2183

Phone

(206) 760-6403

Fax

(206) 760-6339

NPI assigned

Aug 9, 2012

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

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 and National Provider Directory roles.

• Providence Health & Services - Washington

  • Exclusive Provider Organization
  • Seattle, WA
  • NPI 1881681518
  NPD (past)

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

{
    "created_epoch": "1344470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344470400000",
    "number": "1902153885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4515 MARTIN LUTHER KING JR WAY S STE 100",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981082183",
            "telephone_number": "206-760-6403",
            "fax_number": "206-760-6339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4515 MARTIN LUTHER KING JR WAY S STE 100",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981082183",
            "telephone_number": "206-760-6403",
            "fax_number": "206-760-6339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHORT",
        "first_name": "LAURIE",
        "middle_name": "LYNNE",
        "name_prefix": "Mrs.",
        "credential": "RN00129637",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-09",
        "last_updated": "2012-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "WA",
            "license": "RN00129637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ana Patricia Short, M.ED.
• Janyce J Short
• Jeffrey A. Short, D.D.S.
• Katherine V Short, ND
• Laura Grissom Short, LCSW
• Mariesa Short
• Martha L Short, PA-C
• Nika T Short
• Serena Short, M.A.
• Valerie Diane Short, P.T., MS

• Administrator Registered Nurse in Seattle, WA
• Providers in Seattle, WA by specialty
• Administrator Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2012; 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.