Individual provider Active NPI

Toshua Dainelle Short

  • Family Nurse Practitioner
  • Upperglade, WV
National Provider Identifier
1952931842
Registry record updated Oct 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
105090 Issued in WV
Practice address
1 Highlander Dr
Upperglade, WV 26266-9400
Phone
(304) 226-3993
NPI assigned
Jan 21, 2020
Last updated
Oct 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 105090 WV Primary

Addresses

Primary practice location

1 Highlander Dr
Upperglade, WV 26266-9400

Mailing address

1 Highlander Dr
Upperglade, WV 26266-9400
Phone (304) 226-3993

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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

Enrollment IDStateProvider typePAC IDDetails
I20240122002851 WV Practitioner - Nurse Practitioner 8729430111 Reassigns benefits to 13 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Camden on Gauley Medical Center IncGroup PAC ID 6002867850, shared by 25 NPIs, 26 clinicians

Practice addresses (Care Compare)

10003 Webster Rd
Camden on Gauley, WV 26208-7713

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Camden on Gauley Medical Center Inc CurrentSince Nov 11, 2023 Accepting new patients
Camden on Gauley Medical Center Inc CurrentSince Nov 11, 2023 Accepting new patients
Camden on Gauley Medical Center Inc CurrentSince Mar 14, 2024 Accepting new patients
Camden on Gauley Medical Center Inc CurrentSince Nov 11, 2023 Accepting new patients
Camden on Gauley Medical Center Inc CurrentSince Nov 11, 2023 Accepting new patients
Camden on Gauley Medical Center, Inc Current Accepting new patients
Camden on Gauley Medical Center Inc CurrentSince Feb 1, 2025 Accepting new patients
Camden on Gauley Medical Center Inc Current Accepting new patients
Camden on Gauley Medical Center Inc CurrentSince Nov 11, 2023 Accepting new patients
Camden on Gauley Medical Center, Inc CurrentSince Jan 2, 2024 Accepting new patients
Camden on Gauley Medical Center, Inc. CurrentSince Nov 11, 2023 Accepting new patients
Camden on Gauley Medical Center Inc CurrentSince Nov 11, 2023 Accepting new patients
Camden on Gauley Medical Center Inc CurrentSince Jan 11, 2023 Accepting new patients
Camden on Gauley Medical Center Inc. CurrentSince Nov 11, 2023 Accepting new patients
Camden on Gauley Medical Center Inc CurrentSince Nov 11, 2023 Accepting new patients
Camden on Gauley Medical Center Inc Current Accepting new patients
Camden on Gauley Medical Center Inc Current Accepting new patients

Locations

101 Florence St
Ansted, WV 25812
Phone (304) 658-5100

10003 Webster Rd
Camden on Gly, WV 26208
Phone (304) 266-5725

56 Park St
Cowen, WV 26206
Phone (304) 226-5275

100 School St
Craigsville, WV 26205
Phone (304) 742-1061

16414 Webster Rd
Craigsville, WV 26205
Phone (304) 742-3004

46 Red Oak Dr
Craigsville, WV 26205
Phone (304) 742-5737

110 Panther Creek Elementary Rd
Nettie, WV 26681
Phone (304) 742-1061

16 W Main St
Richwood, WV 26261
Phone (304) 846-0207

190 Riverside Dr
Richwood, WV 26261
Phone (304) 846-2588

71 Avenue A
Richwood, WV 26261
Phone (304) 846-2608

415 Main St
Summersville, WV 26651
Phone (304) 872-1663

70 Grade School Ln
Summersville, WV 26651
Phone 3042265725118

7950 Webster Rd
Summersville, WV 26651

1 Highlander Dr
Upperglade, WV 26266
Phone (304) 226-3993

300 Minuteman Dr
Weston, WV 26452
Phone (304) 997-8701

Organizations & group practices 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1579564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698364800000",
    "number": "1952931842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HIGHLANDER DR",
            "city": "UPPERGLADE",
            "state": "WV",
            "postal_code": "262669400",
            "telephone_number": "304-226-3993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HIGHLANDER DR",
            "city": "UPPERGLADE",
            "state": "WV",
            "postal_code": "262669400",
            "telephone_number": "304-226-3993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHORT",
        "first_name": "TOSHUA",
        "middle_name": "DAINELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-21",
        "last_updated": "2023-10-27",
        "certification_date": "2023-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "105090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upperglade, WV

Sources for this page

Verify at the official NPI Registry.