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Tamika Camilia Shorter

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

2240 M St NW, Washington, DC 20037-1415

PECOS Enrollment

This provider is enrolled in PECOS as TAMIKA SHORTER.

Based on the most recent information from CMS, provider Tamika Camilia Shorter is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 4:18 PM.

Profile Details

Provider ID
1184218331
Provider Type
Individual
Full Name
Shorter, Tamika Camilia
Credential
CRNP

Gender
Female
Sole Proprietor
No
Enumeration Date
2/26/2021
Last Updated
9/20/2023

Contact Information

Practice Location

2240 M St NW, Washington, DC 20037-1415

(202) 296-9877

Unlisted Fax

Mailing Location

2240 M St NW, Washington, DC 20037-1415

(202) 296-9877

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License NP1060583 District of Columbia
Code 363LF0000X	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License R182445 Maryland

Tamika Camilia Shorter

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Brown, Folashade

Le, Jennifer

Aminrazavi, Marylynn

Rossoukh, Marissa F

Gallagher, Amanda

Gray, Donna

Mudgil, Shikha

Gilmour, Kiana

Matos, Samantha

Goldberg, Azadeh Pajoohesh