Active NPIIndividual providerSole proprietor

Kaydean S Shorter, PMHNP-BC

Clinical Nurse Specialist, Psych/Mental Health, Community in Quincy, Massachusetts

NPI Number1598337941
Practice location
460 Quincy Ave, Quincy, MA 02169-8130
Fax
617-770-3749
Last updated
August 2, 2023

Kaydean S Shorter is a Clinical Nurse Specialist, Psych/Mental Health, Community based in Quincy, MA. Kaydean S Shorter practices in Quincy, MA and has the professional credentials of PMHNP-BC. The NPI Number for Kaydean S Shorter is 1598337941 and holds a License No. MS7633832 (MA). The current practice location address for Kaydean S Shorter is 460 Quincy Ave, Quincy, MA 02169-8130 and can be reached out via phone at 617-774-6090 and via fax at 617-770-3749.

Provider Profile Details

NPI Number
1598337941
Provider Name
Kaydean S Shorter
Credential
PMHNP-BC
Provider Entity Type
Individual
Gender
Female
Address
460 Quincy Ave, Quincy, MA 02169-8130
Phone Number
617-774-6090
Fax Number
617-770-3749
Sole Proprietor
Yes
Provider Enumeration Date
July 14, 2021
Last Update Date
August 2, 2023
Certification Date
August 2, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
460 Quincy Ave
Quincy, MA 02169-8130
City
Quincy
Zip
02169-8130
Phone Number
617-774-6090
Fax Number
617-770-3749
Quincy, MA 02169Get directions →

Provider Business Mailing Address Details

Address
64 Mceachron Dr
Stoughton, MA 02072-3586
City
Stoughton
State
MA
Zip
02072-3586
Phone Number
508-801-2637

License Information

License Number
MS7633832
License State
MA

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kaydean S Shorter, PMHNP-BC?

The NPI number of Kaydean S Shorter, PMHNP-BC is 1598337941. It was assigned on July 14, 2021 and is currently active in the NPPES registry.

What is the specialty of Kaydean S Shorter, PMHNP-BC?

Kaydean S Shorter, PMHNP-BC is registered under the primary taxonomy Clinical Nurse Specialist, Psych/Mental Health, Community (code 364SP0812X), licensed in MA under license number MS7633832.

Where does Kaydean S Shorter, PMHNP-BC practice?

The practice location is 460 Quincy Ave, Quincy, MA 02169-8130. The office can be reached at 617-774-6090 (phone) or 617-770-3749 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1598337941 directly on the NPPES registry website.

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