Shavonne Antoine
Individual provider Active NPI Adult Companion · Omaha, NE
NPI 1992504112 · NPPES record last updated Mar 11, 2025
Key facts
- NPI
- 1992504112
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Companion 372600000X
- Practice address
- 12427 Weir St
Omaha, NE 68137-2127 - Phone
- (773) 739-1530
- NPI assigned
- Mar 11, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Companion | 372600000X | Yes |
Addresses
Primary practice location
12427 Weir St
Omaha, NE 68137-2127
Mailing address
1201 Robertson Dr
Omaha, NE 68114-1548
Phone (402) 906-2301
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 11, 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.