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Active NPI 1295706182 Individual Practitioner Female Practitioner

Theodora L Short , ADVANCED PRACTICE NU

Nurse Practitioner • Ratcliff, AR

Professional Overview & Biography Verified Profile Summary

Theodora Short, ADVANCED PRACTICE NU is a registered healthcare professional specializing in Nurse Practitioner in Ratcliff, AR. Practice services are available at 9755 W. STATE HIGHWAY 22 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

9755 W. State Highway 22

Ratcliff, AR 729519000

Telephone 4796355300
Fax 4796352010
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Ratcliff, AR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 22.0 Yrs
State Avg: 11.2 Yrs
Regional Practice Density
3 Specialists

Practicing in Ratcliff, AR (702 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License AR A01027

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Tricare
A004

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

11 Associated Practitioners
NPI 1013010610

APNRNPCPNP

Dr. John Urban , DO

Family Medicine

NPI 1124195698

Doctor of Osteopathic Medicine (D.O.)

Dr. Jerry Stewart , MD

Internal Medicine

NPI 1376778936

Doctor of Medicine (M.D.)

Dr. Nathan Bennett , DO

Internal Medicine

NPI 1528088846

Doctor of Osteopathic Medicine (D.O.)

NPI 1699707661

Doctor of Dental Surgery

Dr. Thomas Kiefer , DDS

Dentist - General Practice

NPI 1750857066

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 02, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location October 02, 2007

Registered at 9755 W. STATE HIGHWAY 22, RATCLIFF, AR 729519000 (Tel: 4796355300)

📍
Updated Business Mailing Address October 02, 2007

Registered at PO BOX 130, RATCLIFF, AR 729510130 (Tel: 4796355300)

👤
Provider Name / Credentials Updated October 02, 2007

Recorded as THEODORA SHORT, ADVANCED PRACTICE NU

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 02, 2007

Nurse Practitioner (License #A01027 in AR)

🟢
Initial NPI Registration & Enumeration January 30, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1295706182
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 30, 2006
Last Update: October 02, 2007
Sole Proprietor: No

Mailing Address

Po Box 130

Ratcliff, AR 729510130

Phone: 4796355300

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.