Individual provider Active NPI

Laura Short, ARNP

  • Family Nurse Practitioner
  • Vero Beach, FL
National Provider Identifier
1972933612
Registry record updated Nov 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP 9223031 Issued in FL
Practice address
1715 37TH PL
2ND Floor
Vero Beach, FL 32960-4502
Phone
(772) 794-2222
NPI assigned
Nov 15, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2013

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 ARNP 9223031 FL Primary

Addresses

Primary practice location

1715 37TH PL
2ND Floor
Vero Beach, FL 32960-4502

Mailing address

1715 37TH PL
2ND Floor
Vero Beach, FL 32960-4502

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20131122001163 FL Practitioner - Nurse Practitioner 6901032846 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Indian River Primary Care CurrentSince Dec 1, 2013 Accepting new patients

Locations

1715 37th Pl
Fl 2
Vero Beach, FL 32960
Phone (772) 567-4336

Interoperability endpoints

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

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1384473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384473600000",
    "number": "1972933612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 37TH PL",
            "address_2": "2ND FLOOR",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329604502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 37TH PL",
            "address_2": "2ND FLOOR",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329604502",
            "telephone_number": "772-794-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHORT",
        "first_name": "LAURA",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-15",
        "last_updated": "2013-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP 9223031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

Verify at the official NPI Registry.