JENNIFER SHORT (NPI# 1518320019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518320019 |
| Entity Type | Individual |
| Full Name | JENNIFER SHORT |
| Credential | PA |
| Practice Address |
69 Jesse Hill Jr Dr Se Glenn Memorial Building, Room 302d Atlanta GA 30303-3033 |
| Practice Telephone | 4042518914 |
| Practice Fax Number | 4045233931 |
| Mailing Telephone | 4042518914 |
| Mailing Fax Number | 4045233931 |
| Enumeration Date | 2016-04-01 |
| Last Update Date | 2016-04-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
7935 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881177863 | Jennifer Lea Short | Occupational Therapy Assistant | 701 S Main St, Broken Arrow, OK 74012-5528 | 2018-09-14 |
| 1821450677 | Jennifer Short | Advanced Practice Midwife | 300 2nd Ave, Long Branch, NJ 07740-6303 | 2016-03-22 |
| 1497062707 | Jennifer A Short | Physical Therapist | 6255 S Archer Ave, Chicago, IL 60638-2609 | 2010-09-08 |
| 1750617874 | Jennifer Marie Short | Physician Assistant | 13845 Conlan Cir, Charlotte, NC 28277-2705 | 2009-10-23 |
| 1275603144 | Jennifer D Short | Social Worker | 29520 Canvasback Dr, Easton, MD 21601-7124 | 2006-11-08 |
| Street Address |
69 JESSE HILL JR DR SE GLENN MEMORIAL BUILDING, ROOM 302D |
| City | ATLANTA |
| State | GA |
| Zip Code | 30303-3033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356378616 | Stuart G Brooker | Anesthesiology | 69 Jesse Hill Jr Dr Se, Dept of Anesthesiology, Atlanta, GA 30303-3033 | 2006-06-26 |
| 1871080275 | Brian Zachary Druyan | Student in an Organized Health Care Education/Training Program | 69 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3033 | 2018-04-20 |
| 1861997538 | Nicole Marie St Omer Roy | Student in an Organized Health Care Education/Training Program | 69 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3033 | 2018-03-26 |
| 1285166686 | Siping He | Student in an Organized Health Care Education/Training Program | 69 Jesse Hill Jr Dr Se, Glenn Building, 4th Floor - 412b, Atlanta, GA 30303-3033 | 2017-04-03 |
| 1164954137 | Gopika Radha Krishna | Student in an Organized Health Care Education/Training Program | 69 Jesse Hill Jr Dr Se, Glenn Building, 4th Floor, Atlanta, GA 30303-3033 | 2017-03-29 |
| 1922530120 | Victoria Shuangbai Jiang | Student in an Organized Health Care Education/Training Program | 69 Jesse Hill Jr Dr Se, Glenn Building, 4th Floor - 412b, Atlanta, GA 30303-3033 | 2017-03-28 |
| 1578095741 | Michelle Picon | Student in an Organized Health Care Education/Training Program | 69 Jesse Hill Jr Dr Se, Glenn Building, 4th Floor - 412b, Atlanta, GA 30303-3033 | 2017-03-28 |
| 1649701012 | Mina Farahzad | Student in an Organized Health Care Education/Training Program | 69 Jesse Hill Jr Dr Se, Glenn Building, 4th Floor - 412b, Atlanta, GA 30303-3033 | 2017-03-27 |
| 1447781075 | Sarah Kellerhals | Student in an Organized Health Care Education/Training Program | 69 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3033 | 2017-03-24 |
| 1073975967 | Amy Ottensmeyer | Student in an Organized Health Care Education/Training Program | 69 Jesse Hill Jr Dr Se, Glenn Building, 4th Floor - 412b, Atlanta, GA 30303-3033 | 2016-03-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811597461 | Nanoresearch, Inc | Point of Service | 58 Edgewood Ave Ne, Suite 122, Collabtech., Gsu, Atlanta, GA 30303 | 2020-10-31 |
| 1952917155 | Alesha Deshay Elbert | Behavior Technician | 206 Peachstreet Ne Suite 2200, Atlanta, GA 30303 | 2020-09-22 |
| 1033759386 | Mark Bush | Case Manager/Care Coordinator | 50 Hurt Plaza Se Suite 1108, Atlanta, GA 30303 | 2020-01-14 |
| 1053965855 | Patrice Munsel Henry | Nurse Practitioner | 80 Jessie Hill Drive Se, Atlanta, GA 30303 | 2019-07-30 |
| 1356826564 | United States Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 260 Peachtree Street Nw, Suite 2200, Office 2228, Atlanta, GA 30303 | 2018-10-03 |
| 1336645290 | Joseph Bahng | Student in an Organized Health Care Education/Training Program | 69 Jesse Hill Jr Drive Se, Glenn Building, 4th Floor - 412b, Atlanta, GA 30303 | 2018-03-31 |
| 1841704707 | Amber Peach LLC | Family Medicine | 260 Peachtree St Nw Suite 2200, Atlanta, GA 30303 | 2017-11-29 |
| 1447778089 | Jasmine Williams | Behavioral Analyst | 260 Peachtree Street Nw, Suite 2200, Atlanta, GA 30303 | 2017-09-05 |
| 1982138236 | Mahek Dossani | Behavior Technician | 260 Peachtree Street Nw, Suite 2200, Atlanta, GA 30303 | 2017-04-13 |
| 1255872420 | Alexis Annick Auger | Behavior Technician | 260 Peachtree St. Nw, Suite 2200, Atlanta, GA 30303 | 2017-03-20 |
| Find all providers in zip 30303 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912356775 | Jason Weddington | Physician Assistant | 5667 Peachtree Dunwoody Rd Ste 220, Atlanta, GA 30342-1725 | 2016-06-11 |
| 1578937181 | Vds Surgical Assistants, Inc. | Physician Assistant | 1307 W Garmon Rd, Atlanta, GA 30327-4405 | 2015-11-19 |
| 1407220379 | Simpson Surgery Group, LLC | Physician Assistant | 701 Highland Ave Ne Apt 1407, #1407, Atlanta, GA 30312-1454 | 2015-11-16 |
| 1417388232 | Tracey Lorena Tello | Physician Assistant | 931 Monroe Drive Ne, Suite 102 #641, Atlanta, GA 30308-7132 | 2013-12-04 |
| 1336587401 | Marissa B Highnote | Physician Assistant | 6045 Barfield Rd Ste 100, Atlanta, GA 30328-4402 | 2013-06-11 |
| 1396013223 | Signature Surgical Assistants | Physician Assistant | 2489 Kings Arms Dr Ne, Atlanta, GA 30345-2132 | 2011-12-07 |
| 1720364318 | Leah Strickland | Physician Assistant | 4279 Roswell Road Suite 102 Pmb 303, Atlanta, GA 30342 | 2011-10-26 |
| 1669798872 | Tiffiany Mccune | Physician Assistant | 4979 Lower Elm St, Atlanta, GA 30349-1677 | 2010-04-13 |
| 1306177233 | Hong Feng Shi | Physician Assistant | 4355 Cobb Pkwy Ste J131, Atlanta, GA 30339-3887 | 2010-01-15 |
| 1821256223 | Clyde D Johnson Jr. | Physician Assistant | 5881 Glendrige Dr Ne, Suite 120, Atlanta, GA 30328 | 2008-06-02 |
| Find all providers in ATLANTA | ||||
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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.