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KAYDEAN S SHORTER PMHNP-BC NPI 1598337941


NPI Information

NPI: 1598337941
Provider Name: KAYDEAN S SHORTER, PMHNP-BC
Classification: Clinical Nurse Specialist - 364SP0812X
Entity Type: Individual

Specialization: Psychiatric/Mental Health, Community

PECOS Registration: Yes

Address:
460 QUINCY AVE
QUINCY, MA
ZIP 02169
Phone: (617) 774-6090
Get Directions

Kaydean S Shorter, PMHNP-BC is a psychiatric/mental health and community clinical nurse specialist in Quincy, MA. Kaydean S Shorter, PMHNP-BC NPI is 1598337941. The provider is registered as an individual entity type and is a multiple single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

460 QUINCY AVE
QUINCY, MA
ZIP 02169-130
Phone: (617) 774-6090
Fax: (617) 770-3749

The NPI 1598337941 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/14/2021 and was last updated on 8/2/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1364SP0812XClinical Nurse SpecialistPsychiatric/Mental Health, CommunityMS7633832MASSACHUSETTSYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.