Patricia Kay Short, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

589587 Issued in TX

Practice address

520 N Collegiate Dr
Paris, TX 75460

Phone

(903) 784-1608

NPI assigned

Jun 18, 2009

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

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TX, OK2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

TexomacareGroup PAC ID 3678555307, shared by 2 NPIs, 47 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CDGFAA

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.

• Texomacare

  • Family Medicine Physician
  • Denison, TX
  • NPI 1740233592
  Medicare reassignment NPD
• Texomacare

  • Family Medicine Physician
  • Madill, OK
  • NPI 1407800857
  Medicare reassignment NPD
• Texomacare

  • Family Medicine Physician
  • Denison, TX
  • NPI 1912419250
  NPD
• PRMC ER Group Inc

  • Anesthesiology Physician
  • Paris, TX
  • NPI 1366764052
  NPD (past)

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

{
    "created_epoch": "1245283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539561600000",
    "number": "1932336898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 N COLLEGIATE DR",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754604885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 N COLLEGIATE DR",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "75460",
            "telephone_number": "903-784-1608"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 E Fm 120 Ste 104",
            "address_purpose": "LOCATION",
            "city": "Pottsboro",
            "state": "TX",
            "postal_code": "750767801",
            "country_code": "US",
            "telephone_number": "903-786-3911",
            "fax_number": "903-786-8630",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 E Fm 120 Ste 104",
            "address_purpose": "LOCATION",
            "city": "Pottsboro",
            "state": "TX",
            "postal_code": "750767801",
            "country_code": "US",
            "telephone_number": "903-786-3911",
            "fax_number": "903-786-8630",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3126 W Fm 120",
            "address_purpose": "LOCATION",
            "city": "Denison",
            "state": "TX",
            "postal_code": "750201249",
            "country_code": "US",
            "telephone_number": "903-416-7544",
            "fax_number": "903-416-7545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHORT",
        "first_name": "PATRICIA",
        "middle_name": "KAY",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-18",
        "last_updated": "2018-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "589587",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "211654302",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "AP117620",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSING LICENSE",
            "identifier": "589857",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Senior Management Services of Paris Inc
• Sequoia Brown
• Khalid Shafiq, MD, FACC, FSCAI
• Samir Shah
• Shamik Mahendra Shastri, DDS, MPH
• Omer Mustafa Siddiqui, MBBS
• Signature Home Dialysis LLC
• Kristy Kay Siler, LPC
• Silver Crest Hospice LLC
• Lav K Singh, M.D

• Family Nurse Practitioner in Paris, TX
• Providers in Paris, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2018; 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.