Mrs Shaunna Shortes, FNP C - Nurse Practitioner in Blackfoot, ID

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.

Contact Information

Mrs Shaunna Shortes, FNP C
98 Poplar St,
Blackfoot, ID 83221-1758
(559) 289-1063
Not Available



Physician's Profile

Full NameMrs Shaunna Shortes
GenderFemale
SpecialityNurse Practitioner - Family
Location98 Poplar St, Blackfoot, Idaho
Accepts Medicare AssignmentsDoes 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.
IdentifierTypeStateIssuer
1699760090NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 14920 (California)Secondary
207RE0101XInternal Medicine - Endocrinology, Diabetes & Metabolism 14920 (California)Secondary
363LF0000XNurse Practitioner - Family 70218 (Idaho)Secondary
363LP2300XNurse Practitioner - Primary Care 14920 (California)Secondary
363LF0000XNurse 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 AddressPractice 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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