Individual provider Active NPI

Shelby Allan, RN

  • School Registered Nurse
  • Wood River, NE
National Provider Identifier
1700556313
Registry record updated Sep 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
80199 Issued in NE
Practice address
13800 W Wood River Rd
Wood River, NE 68883-9456
Phone
(308) 583-2249
Fax
(308) 583-2668
NPI assigned
Sep 15, 2021
Last updated
Sep 15, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 80199 NE Primary

Addresses

Primary practice location

13800 W Wood River Rd
Wood River, NE 68883-9456

Mailing address

13800 W Wood River Rd
Wood River, NE 68883-9456
Phone (308) 583-2249

Other practice location 1

1003 Lilly St
Wood River, NE 68883-2107
Phone (308) 583-2525

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
80199NEMDSchool Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Wood River Rural Schools CurrentSince May 8, 2022 Accepting new patients

Locations

13800 W Wood River Rd
Wood River, NE 68883
Phone (308) 583-2249

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1631664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631664000000",
    "number": "1700556313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13800 W WOOD RIVER RD",
            "city": "WOOD RIVER",
            "state": "NE",
            "postal_code": "688839456",
            "telephone_number": "308-583-2249",
            "fax_number": "308-583-2668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13800 W WOOD RIVER RD",
            "city": "WOOD RIVER",
            "state": "NE",
            "postal_code": "688839456",
            "telephone_number": "308-583-2249",
            "fax_number": "308-583-2668"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1003 Lilly St",
            "address_purpose": "LOCATION",
            "city": "Wood River",
            "state": "NE",
            "postal_code": "688832107",
            "country_code": "US",
            "telephone_number": "308-583-2525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLAN",
        "first_name": "SHELBY",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-15",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NE",
            "license": "80199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wood River, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; 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.