Karen D Shorter

Primary specialty

Geriatric PharmacistTaxonomy code 1835G0303X

License

33605 Issued in NY

Practice address

92 Skyline TRL
Hinsdale, MA 01235-9390

Phone

(413) 623-5798

Fax

(413) 623-5798

NPI assigned

Nov 23, 2007

Last updated

Nov 23, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Karen Denise Waterman Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1195776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195776000000",
    "number": "1982885554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 SKYLINE TRL",
            "city": "HINSDALE",
            "state": "MA",
            "postal_code": "012359390",
            "telephone_number": "413-623-5798",
            "fax_number": "413-623-5798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 SKYLINE TRL",
            "city": "HINSDALE",
            "state": "MA",
            "postal_code": "012359390",
            "telephone_number": "413-623-5798",
            "fax_number": "413-623-5798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHORTER",
        "first_name": "KAREN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-23",
        "last_updated": "2007-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835G0303X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Geriatric",
            "state": "NY",
            "license": "33605",
            "primary": true
        },
        {
            "code": "1835G0303X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Geriatric",
            "state": "CT",
            "license": "7615",
            "primary": false
        },
        {
            "code": "1835G0303X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Geriatric",
            "state": "MA",
            "license": "23584",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "WATERMAN",
            "middle_name": "DENISE",
            "credential": "PHARMD, CGP, RPH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Judith H Mickenberg, LICSW
• Colleen Passetto, MSW, LICSW

• Geriatric Pharmacist in Hinsdale, MA
• Providers in Hinsdale, MA by specialty
• Geriatric Pharmacist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2007; 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.