Individual provider Active NPI

Wanda D Shubert

  • Gerontology Registered Nurse
  • Taylor, NE
National Provider Identifier
1629877758
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Registered NurseTaxonomy code 163WG0600X
License
35724 Issued in NE
Practice address
45030 Highway 91
Taylor, NE 68879-8539
Phone
(402) 660-0519
NPI assigned
Mar 11, 2025
Last updated
Jul 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
35724NEMDGerontology Registered Nurse
70730332NEMDPersonal 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.

Verify at the official NPI Registry.