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JIMMY SHORT
NPI 1740151018
Peer Specialist in Tulsa, OK

Active since September 17, 2025
1608 S ELWOOD AVE, TULSA, OK 74119(918) 587-3888 Get Directions Write a Review

NPPES record last updated: September 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jimmy Short NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JIMMY SHORT (NPI 1740151018) is an individual peer specialist in Tulsa, Oklahoma and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1740151018
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameJIMMY SHORT
Location Address1608 S ELWOOD AVETulsa, OK 74119-4208
Mailing Address1608 S Elwood AveTulsa, OK 74119-4208
Phone(918) 587-3888
Sole ProprietorNo
Enumeration DateSeptember 17, 2025
NPPES CertifiedSeptember 17, 2025
✔ NPI 1740151018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
1608 S ELWOOD AVE, Tulsa, OK 74119
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KAYLEN FONFARA
Peer Specialist
1608 S ELWOOD AVE
TULSA, OK 74119
Tulsa County (918) 587-3888
ANGELA ASHLEY
Case Manager/Care Coordinator
1608 S ELWOOD AVE
TULSA, OK 74119
Tulsa County (918) 587-3888
KRISTY GOODWIN
Peer Specialist
1608 S ELWOOD AVE
TULSA, OK 74119
Tulsa County (191) 858-7388
CRYSTAL PERDUE
Peer Specialist
1608 S ELWOOD AVE
TULSA, OK 74119
Tulsa County (918) 587-3888
MATTHEW COX
Peer Specialist
1608 S ELWOOD AVE
TULSA, OK 74119
Tulsa County (918) 587-3888
KRISTI SZESZULSKI
Peer Specialist
1608 S ELWOOD AVE
TULSA, OK 74119
Tulsa County (918) 587-3888
ANGELA HARVEY
Case Manager/Care Coordinator
1608 S ELWOOD AVE
TULSA, OK 74119
Tulsa County (918) 587-3888
IMANI RANEY
Peer Specialist
1608 S ELWOOD AVE
TULSA, OK 74119
Tulsa County (918) 587-3888

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jimmy Short's NPI number?

The NPI number for Jimmy Short is 1740151018. It was assigned to this individual provider in the NPPES registry on September 17, 2025.

Where is Jimmy Short located?

Jimmy Short practices at 1608 S Elwood Ave, Tulsa, OK 74119. The listed phone number is (918) 587-3888.

What is Jimmy Short's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Jimmy Short was last updated on September 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.