Shauntel Sheree Nutile, LMHP LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6047 Issued in NE

Practice address

2809 S 160TH St Ste 101
Omaha, NE 68130-1755

Phone

(402) 800-7276

NPI assigned

Jan 3, 2024

Sex

Female

Sole proprietor

Yes

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

Enrolled in NE

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Unmc Physicians

  • Multi-Specialty Clinic/Center
  • Omaha, NE
  • NPI 1417912114
  Medicare reassignment NPD

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

{
    "created_epoch": "1704240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713225600000",
    "number": "1609646587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2809 S 160TH ST STE 101",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681301755",
            "telephone_number": "402-800-7276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2809 S 160TH ST STE 101",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681301755",
            "telephone_number": "402-800-7276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUTILE",
        "first_name": "SHAUNTEL",
        "middle_name": "SHEREE",
        "credential": "LMHP LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-03",
        "last_updated": "2024-04-16",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NE",
            "license": "6047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nurturing Self Therapy LLC
• Margaret A Nusser-Gerlach, APRN
• Mary Kate Nussrallah
• Stephanie Marie Nussrallah
• Aireauna Nutile
• Nutrition Specialists Professional Corporation
• Michele Rene Nutsch
• Alisha D Nutt, MS LIMHP CPC
• Nutter Chiropractic, P.C.
• Emily R Nutter, APRN-NP, DNP

• Clinical Social Worker in Omaha, NE
• Providers in Omaha, NE by specialty
• Clinical Social Worker in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.