Active NPI
Toshua Dainelle Short
- Family Nurse Practitioner
- Upperglade, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 105090
- Practice address
- 1 Highlander Dr
Upperglade, WV 26266-9400 - Phone
- (304) 226-3993
- NPI assigned
- Jan 21, 2020
- Last updated
- Oct 27, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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 Inc
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
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.
-
dba Camden Family Health
- Federally Qualified Health Center (FQHC)
- Nettie, WV
- NPI 1174065916
-
dba Camden Family Health-Red Oak
- Federally Qualified Health Center (FQHC)
- Craigsville, WV
- NPI 1215394648
-
dba Camden Family Health
- Federally Qualified Health Center (FQHC)
- Richwood, WV
- NPI 1245938513
-
dba Camden Family Health
- Federally Qualified Health Center (FQHC)
- Craigsville, WV
- NPI 1427585157
-
dba Camden Family Health
- Federally Qualified Health Center (FQHC)
- Summersville, WV
- NPI 1508372228
-
dba Camden Family Health
- Federally Qualified Health Center (FQHC)
- Summersville, WV
- NPI 1558174086
-
dba Central WV Community Health Center
- Federally Qualified Health Center (FQHC)
- Summersville, WV
- NPI 1558340414
-
dba Camden Family Health
- Federally Qualified Health Center (FQHC)
- Richwood, WV
- NPI 1700312618
-
dba Camden Family Health
- Federally Qualified Health Center (FQHC)
- Ansted, WV
- NPI 1801493499
-
dba Camden Family Health (lewis)
- Federally Qualified Health Center (FQHC)
- Weston, WV
- NPI 1861872541
-
dba Camden Family Health
- Federally Qualified Health Center (FQHC)
- Richwood, WV
- NPI 1811420250
-
dba Camden Family Health (Cowen Location)
- Federally Qualified Health Center (FQHC)
- Cowen, WV
- NPI 1639418361
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2023; 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.