Active NPI
Wanda D Shubert
- Gerontology Registered Nurse
- Taylor, NE
National Provider Identifier
1629877758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Registered Nurse
- License
- 35724
- Practice address
- 45030 Highway 91
Taylor, NE 68879-8539 - Phone
- (402) 660-0519
- NPI assigned
- Mar 11, 2025
- Last updated
- Jul 1, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | 70730332 | NE | |
| Gerontology Registered Nurse | 163WG0600X | 35724 | NE | Primary |
Addresses
Primary practice location
45030 Highway 91
Taylor, NE 68879-8539
Mailing address
45030 Highway 91
Taylor, NE 68879-8539
Phone (402) 660-0519
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35724 | NE | MD | Gerontology Registered Nurse |
| 70730332 | NE | MD | Personal Care Attendant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751328000000",
"number": "1629877758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45030 HIGHWAY 91",
"city": "TAYLOR",
"state": "NE",
"postal_code": "688798539",
"telephone_number": "402-660-0519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45030 HIGHWAY 91",
"city": "TAYLOR",
"state": "NE",
"postal_code": "688798539",
"telephone_number": "402-660-0519"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHUBERT",
"first_name": "WANDA",
"middle_name": "D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-03-11",
"last_updated": "2025-07-01",
"certification_date": "2025-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": "NE",
"license": "70730332",
"primary": false
},
{
"code": "163WG0600X",
"taxonomy_group": "",
"desc": "Registered Nurse, Gerontology",
"state": "NE",
"license": "35724",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Taylor, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.