SUSAN SHORT CRNP NPI 1992811152

NPI Information

NPI: 1992811152
Provider Name: SUSAN SHORT, CRNP
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

PECOS Registration: Yes

Address:
817 PRINCETON AVE SW
STE 115
BIRMINGHAM, AL
ZIP 35211
Phone: (205) 780-1963
Get Directions

Susan Short, CRNP is an acute care nurse practitioner in Birmingham, AL. Susan Short, CRNP NPI is 1992811152. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

817 PRINCETON AVE SW
STE 115
BIRMINGHAM, AL
ZIP 35211-333
Phone: (205) 780-1963
Fax: (205) 780-1967

The NPI 1992811152 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 8/21/2006 and was last updated on 7/14/2007.

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
1	363LA2100X	Nurse Practitioner	Acute Care	1035474	ALABAMA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	P43736	MEDICARE UPIN	ALABAMA
2	51504287	OTHER	ALABAMA	BLUE CROSS OF AL
3	D497	MEDICARE PIN	ALABAMA
4	51504287	MEDICARE ID-TYPE UNSPECIFIED	ALABAMA

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: 11/14/2023

NPI Synchronization or Removal

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