Active NPI
Shavonda Lynn Mase, CPSS
- Peer Specialist
- Omaha, NE
National Provider Identifier
1396654935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- CPSS-462
- Practice address
- 3610 Dodge St Ste 211
Omaha, NE 68131-3218 - Phone
- (531) 999-2541
- NPI assigned
- Sep 1, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | CPSS-462 | NE | Primary |
Addresses
Primary practice location
3610 Dodge St Ste 211
Omaha, NE 68131-3218
Mailing address
1012 N 127TH Cir
Omaha, NE 68154-1200
Phone (531) 999-2541
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788220800000",
"number": "1396654935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1012 N 127TH CIR",
"city": "OMAHA",
"state": "NE",
"postal_code": "681541200",
"telephone_number": "531-999-2541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3610 DODGE ST STE 211",
"city": "OMAHA",
"state": "NE",
"postal_code": "681313218",
"telephone_number": "531-999-2541"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASE",
"first_name": "SHAVONDA",
"middle_name": "LYNN",
"credential": "CPSS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-09-01",
"last_updated": "2026-09-01",
"certification_date": "2026-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "NE",
"license": "CPSS-462",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.