Shane Bastron

Primary specialty

Day Training/Habilitation SpecialistTaxonomy code 373H00000X

Practice address

225 N Webb Rd Ste 3
Grand Island, NE 68803-4041

Phone

(402) 742-0311

NPI assigned

Jun 24, 2025

Sex

Unspecified or another gender identity

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1750723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750723200000",
    "number": "1063309797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 N WALNUT ST",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688014518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 N WEBB RD STE 3",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688034041",
            "telephone_number": "402-742-0311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASTRON",
        "first_name": "SHANE",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-06-24",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "373H00000X",
            "taxonomy_group": "",
            "desc": "Day Training/Habilitation Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Grand Island, NE
• Day Training/Habilitation Specialist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.