Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ryan T Short, FNP

Individual provider Family Nurse Practitioner · NPI 1568028967

Ryan T Short, FNP is a Nurse Practitioner in Johnson City, Tennessee. Qualified in 2018, 8 years ago. Practices with Blue Ridge Medical Management Corporation, a 286-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Tennessee and Virginia.

Years since qualifying
8
Licensed in
TN, VA
In the registry since
2019
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

410 N State Of Franklin Rd Ste 135B
Johnson City, TN 37604-6972
Phone: (423) 431-4866
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 127 E Main St, Independence, VA 24348-3985 — (276) 773-2865

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 0024177598 (VA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 25604 (TN)

Record details

NPI number1568028967
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP
Sole proprietorNo
NPI enumeratedMay 13, 2019
Last updated in NPPESJune 2, 2025
Certification dateJune 2, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Blue Ridge Medical Management Corporation — 286 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Johnson City