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Shane David Nibley

Rehabilitation Practitioner in South Lake Tahoe, CA · enumerated 2025 · practices at Mnt Scientific.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1255200846

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Registry record

Entity type Individual (Type 1)
Name Shane David Nibley
Sex Male
Practice address 3079 Harrison Ave, South Lake Tahoe, CA, 96150
Phone (530) 957-6254
Enumeration date Nov 1, 2025
Last updated in NPPES Dec 11, 2025

Taxonomy & licenses

171M00000X Case Manager/Care Coordinator Other Service Providers Secondary
225400000X Rehabilitation Practitioner Respiratory, Developmental, Rehabilitative and Restorative Service Providers Primary
373H00000X Day Training/Habilitation Specialist Nursing Service Related Providers Secondary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Shane Nibley?
The National Provider Identifier (NPI) for Shane Nibley is 1255200846, a Type 1 (individual) record in the CMS NPPES registry.
Where does Shane Nibley practice?
The practice location on file with NPPES is in South Lake Tahoe, CA. Providers can have multiple locations; NPPES lists the primary practice address.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-12-11.