Mrs Shaunna Shortes, FNP C is a
Nurse Practitioner - Family physician based in Blackfoot, Idaho. Mrs Shaunna Shortes is licensed to practice in California (license number 14920) and her current practice location is 98 Poplar St, Blackfoot, Idaho. She can be reached at her office (for appointments etc.) via phone at
(559) 289-1063.
NPI number for Mrs Shaunna Shortes is 1699760090 and her current mailing address is 1054 W 50 S, Blackfoot, Idaho. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1699760090.
Physician's Profile
Full Name | Mrs Shaunna Shortes |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 98 Poplar St, Blackfoot, Idaho |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1699760090
- Provider Enumeration Date: 09/13/2005
- Last Update Date: 02/02/2023
Medical Identifiers
Medical identifiers for Mrs Shaunna Shortes such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1699760090 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 14920 (California) | Secondary |
207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 14920 (California) | Secondary |
363LF0000X | Nurse Practitioner - Family | 70218 (Idaho) | Secondary |
363LP2300X | Nurse Practitioner - Primary Care | 14920 (California) | Secondary |
363LF0000X | Nurse Practitioner - Family | 14920 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Shaunna Shortes is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Shaunna Shortes, FNP C 1054 W 50 S, Blackfoot, ID 83221-6088 Ph: (559) 289-1063 | Mrs Shaunna Shortes, FNP C 98 Poplar St, Blackfoot, ID 83221-1758 Ph: (559) 289-1063 |
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