Shawn Nathaniel Gibbens
Individual provider Active NPI Adult Companion · Cozad, NE
NPI 1750183513 · NPPES record last updated Mar 25, 2025
Key facts
- NPI
- 1750183513
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Companion 372600000X
- Practice address
- 821 Avenue J
Cozad, NE 69130-1708 - Phone
- (308) 784-4222
- NPI assigned
- Mar 25, 2025
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Central Developmental Services | Current |
Accepting new patients |
Locations
821 J St
Cozad, NE 69130
Phone (308) 784-4222
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Companion | 372600000X | Yes |
Addresses
Primary practice location
821 Avenue J
Cozad, NE 69130-1708
Mailing address
821 Avenue J
Cozad, NE 69130-1708
Phone (308) 784-4222
Other providers in Cozad, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 25, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.