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

Shara Craddock Short

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1366045023

Shara Craddock Short is a Nurse Practitioner in Hampton, Virginia. Qualified in 2022, 4 years ago. Practices with Genesis Counseling Center, Inc, a 66-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
4
Licensed in
VA
In the registry since
2020
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Practice location Address checks out

2208 Executive Dr
Hampton, VA 23666-6603
Phone: (757) 827-7707
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 0024180538 (VA)

Record details

NPI number1366045023
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 17, 2020
Last updated in NPPESApril 18, 2025
Certification dateApril 18, 2025
Mailing address2202 Executive Dr Ste C, Hampton, VA 23666-6604

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Genesis Counseling Center, Inc. — 66 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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