Active NPI
Shayla Marie Cordova
- Adult Companion
- Waverly, NE
National Provider Identifier
1902601313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Companion
- Practice address
- 10311 N 142ND St
Waverly, NE 68462-1407 - Phone
- (402) 480-4352
- NPI assigned
- Feb 18, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Companion | 372600000X | Primary |
Addresses
Primary practice location
10311 N 142ND St
Waverly, NE 68462-1407
Mailing address
7155 S 16TH St
Lincoln, NE 68512-9237
Phone (402) 480-4352
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739836800000",
"number": "1902601313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7155 S 16TH ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685129237",
"telephone_number": "402-480-4352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10311 N 142ND ST",
"city": "WAVERLY",
"state": "NE",
"postal_code": "684621407",
"telephone_number": "402-480-4352"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORDOVA",
"first_name": "SHAYLA",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-02-18",
"last_updated": "2025-02-18",
"certification_date": "2025-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waverly, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.