ANGELA STALLARD SHORT (NPI# 1457671265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457671265 |
| Entity Type | Individual |
| Full Name | ANGELA STALLARD SHORT |
| Other Name | ANGELA L SHORT |
| Credential | FNP |
| Practice Address |
716 Spring Street Wise VA 24293 |
| Mailing Address |
Po Box 5127 Johnson City TN 37602-5127 |
| Practice Telephone | 2763288910 |
| Practice Fax Number | 2763284318 |
| Mailing Telephone | 8663971439 |
| Mailing Fax Number | 4234315724 |
| Enumeration Date | 2010-06-03 |
| Last Update Date | 2010-06-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
0024168816 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063047496 | Angela Short | Social Worker | 240 Mcnair Rd, Fayette, MS 39069-5540 | 2020-03-05 |
| 1811417934 | Angela Renee Short | Case Management | 1020 E 5th Pl, Tulsa, OK 74120-3802 | 2017-06-20 |
| 1437389814 | Angela Pondexter Short | Counselor | 2345 S Lynhurst Dr, Indianapolis, IN 46241-8630 | 2009-07-21 |
| Street Address |
716 SPRING STREET |
| City | WISE |
| State | VA |
| Zip Code | 24293 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528253846 | Latisha Mechele Hilton | Internal Medicine | 716 Spring Street, Suite 204, Wise, VA 24293 | 2007-09-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104442367 | New Hope Addiction Recovery Inc | Family Medicine | 106 Spring Avenue Ne, Wise, VA 24293 | 2020-06-23 |
| 1225652340 | Jessica Wertz | Technician | 7507 Caddo Rd, Wise, VA 24293 | 2020-06-04 |
| 1831743632 | Ttgi2 LLC | Pharmacy | 426 West Main Street, Wise, VA 24293 | 2019-07-30 |
| 1861919730 | Mckenzie Grace Trotter | Speech-Language Pathologist | 324 School Ave Southeast, Wise, VA 24293 | 2017-08-23 |
| 1043734023 | 3 Guys Transport LLC | Non-emergency Medical Transport (VAN) | 5519 Pole Bridge Road, Wise, VA 24293 | 2017-08-01 |
| 1013352699 | Tester Chiropractic LLC. | Chiropractor | 411 East Main Street, Wise, VA 24293 | 2013-05-08 |
| 1861737181 | Family Preservation Services, Inc | Community/Behavioral Health | 5913 Airport Road, Wise, VA 24293 | 2012-11-28 |
| 1255614749 | Family Preservation Services, Inc | Community/Behavioral Health | 342 School Street, Wise, VA 24293 | 2011-09-21 |
| 1891013520 | Wise Rescue Squad Inc | Ambulance | 302 Railroad Ave, Wise, VA 24293 | 2010-05-05 |
| 1477784148 | Family Preservation Services, Inc. | Community/Behavioral Health | 117 Independence Avenue, Wise, VA 24293 | 2009-07-29 |
| Find all providers in zip 24293 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033737960 | Haley Cantrell Meade | Nurse Practitioner | 9803 Wildwood Dr, Wise, VA 24293-4452 | 2020-07-07 |
| 1346745007 | Johnnie Kay Bledsoe | Nurse Practitioner | 1 College Ave Rm 105, Wise, VA 24293-4400 | 2018-03-26 |
| 1619948486 | Paula Hill | Nurse Practitioner | 5626 Patriot Dr, Wise, VA 24293 | 2006-01-30 |
| 1467063941 | Nicole France | Nurse Practitioner | 5626 Patriot Dr, Wise, VA 24293-1138 | 2020-08-10 |
| 1447882485 | Christopher Jackie Ratliff | Nurse Practitioner | 5626 Patriot Dr, Wise, VA 24293-1138 | 2020-02-07 |
| 1669824736 | Lena Lee Whisenhunt | Nurse Practitioner | 9434 Coeburn Mountain Rd, Wise, VA 24293-5944 | 2016-07-12 |
| 1568709129 | Crystal Large | Nurse Practitioner | 517 W Main St, Suite E, Wise, VA 24293-6905 | 2013-01-15 |
| 1487968194 | Livewell Family Health, PC | Nurse Practitioner | 517 W Main St, Suite E, Wise, VA 24293-6905 | 2010-08-05 |
| 1427095751 | Dawn Short | Nurse Practitioner | 417 W Main St, Wise, VA 24293-6904 | 2006-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518568328 | Lindsey Faulkner | Nurse Practitioner | 32 2nd Ave, Kilmarnock, VA 22482-9571 | 2020-11-06 |
| 1275134694 | Samantha Bonita Wilkins-copeland | Nurse Practitioner | 600 Reusens Rd Apt L129, Lynchburg, VA 24503-1270 | 2020-11-03 |
| 1427659010 | Angela Marie Baker | Nurse Practitioner | 12631 Harrowgate Rd, Chester, VA 23831-4808 | 2020-11-02 |
| 1225638026 | Prasanti Pinnamaraju | Nurse Practitioner | 5324 Fox Ridge Rd, Roanoke, VA 24018-8754 | 2020-10-29 |
| 1881294783 | Amy K Volk | Nurse Practitioner | 272 Bendix Rd Ste 100, Virginia Beach, VA 23452-1380 | 2020-10-29 |
| 1932708971 | Kenjilyn Saldua Uchida | Nurse Practitioner | 8006 Hampton Glen Mews, Chesterfield, VA 23832-2003 | 2020-10-21 |
| 1245839497 | Abdul Malike | Nurse Practitioner | 8010 George Fox Pl, Lorton, VA 22079-2347 | 2020-10-20 |
| 1316546740 | Kristen Avery Weaver | Nurse Practitioner | 322 High St, Dayton, VA 22821-9548 | 2020-10-17 |
| 1619575016 | Lauren Marie Rayburn | Nurse Practitioner | 21021 Sycolin Rd, Ashburn, VA 20147-4097 | 2020-10-16 |
| 1366041790 | Stephanie Ferber | Nurse Practitioner | 8081 Innovation Park Dr Fl 7, Fairfax, VA 22031-4867 | 2020-10-16 |
| Find all providers with the same taxonomy | ||||
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| 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.