KIMBERLY SHORT (NPI# 1154721017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154721017 |
| Entity Type | Individual |
| Full Name | KIMBERLY SHORT |
| Practice Address |
584 Poppletown Rd Ulster Park NY 12487-5425 |
| Practice Telephone | 8452247118 |
| Enumeration Date | 2014-08-28 |
| Last Update Date | 2014-08-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 260250-1 | NY | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770708158 | Kimberly K Short | Surgery | 8455 Clearvista Place, Indianapolis, IN 46256-2419 | 2007-04-13 |
| 1497283576 | Kimberly A Short | Behavior Technician | 7175 Columbia Gateway Dr Ste A, Columbia, MD 21046-2536 | 2017-06-01 |
| Street Address |
584 POPPLETOWN RD |
| City | ULSTER PARK |
| State | NY |
| Zip Code | 12487-5425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609413954 | Susan Williams | Social Worker | 18 Suominen Rd, Ulster Park, NY 12487 | 2019-12-05 |
| 1750521415 | Denise M Koemm | Registered Nurse | 91 Union Center Rd, Ulster Park, NY 12487 | 2009-02-20 |
| 1518183730 | Isis Chen Lan Lum | Acupuncturist | 232 River Rd., Ulster Park, NY 12487 | 2007-04-17 |
| 1841280310 | Long Lake Rescue Squad Inc | Ambulance | Newcomb Road, Long Lake, NY 12487-0415 | 2005-10-26 |
| 1245306091 | Elizabeth A Mundt | Psychologist | 4 Rodmans Ln, Ulster Park, NY 12487-5013 | 2006-11-24 |
| 1841463775 | Stacey Lynn Tierney-gabler | Social Worker | 4 Rodmans Ln, Ulster Park, NY 12487-5013 | 2008-04-11 |
| 1245482512 | Deborah Lynne Haradon | Social Worker | 220 Rogers St, Ulster Park, NY 12487-5015 | 2008-10-18 |
| 1518465277 | Early Intervention Lcsw Services PC | Case Management | 220 Rogers St, Ulster Park, NY 12487-5015 | 2018-01-29 |
| 1477706455 | Jeffrey Allen Boardman | Occupational Therapist | 394 Broadway, Ulster Park, NY 12487-5102 | 2008-11-04 |
| 1396079133 | Dona M Havir | Registered Nurse | 617 Broadway, Ulster Park, NY 12487-5110 | 2009-09-27 |
| Find all providers in zip 12487 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639725211 | Raquel Gonzalez | Licensed Practical Nurse | 591 Poppletown Rd, Ulster Park, NY 12487-5426 | 2019-08-10 |
| 1871748889 | Elizabeth Lyons | Licensed Practical Nurse | 563 Poppletown Rd, Ulster Park, NY 12487-5426 | 2008-11-19 |
| 1689726978 | Denise Patricia Prendergast | Licensed Practical Nurse | 31 Hardenburg Rd, Ulster Park, NY 12487-5312 | 2007-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730780503 | Michael Lee Hendryx | Licensed Practical Nurse | 803 Bell St, Olean, NY 14760-3005 | 2020-11-06 |
| 1720689664 | Chynna S Brown | Licensed Practical Nurse | 483 Newbury St, Rochester, NY 14615-3209 | 2020-11-06 |
| 1588265433 | Deanna Lucas | Licensed Practical Nurse | 206 Prospect Pl, Bay Shore, NY 11706-1537 | 2020-11-06 |
| 1659972511 | Katiesianna Marie Kovalsky | Licensed Practical Nurse | 718 Griswold Hts, Troy, NY 12180-5168 | 2020-11-05 |
| 1538760608 | Shanequa Marshall | Licensed Practical Nurse | 100 Park Ave Apt 1, Amityville, NY 11701-3165 | 2020-11-05 |
| 1780285007 | Jarleyn Severino | Licensed Practical Nurse | 10 Waterview Pl, Lynbrook, NY 11563-1921 | 2020-11-03 |
| 1023619590 | Lisa A Loomis | Licensed Practical Nurse | 2198 Us Highway 20, Nassau, NY 12123-1733 | 2020-11-02 |
| 1235739061 | Kathleen Zalamea | Licensed Practical Nurse | 37 Howells Rd, Bay Shore, NY 11706-6502 | 2020-10-30 |
| 1649870494 | Khairat Salami | Licensed Practical Nurse | 1538 Washington Ave Apt 1, Bronx, NY 10457-8334 | 2020-10-30 |
| 1518567437 | Catherine Grullon | Licensed Practical Nurse | 32 Crescent Ave, Newburgh, NY 12550-3134 | 2020-10-29 |
| Find all providers with the same taxonomy | ||||
| City | ULSTER PARK |
| Zip Code | 12487 |
Please comment or provide details below to improve the information on KIMBERLY SHORT.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.