Provider Demographics
NPI:1154127405
Name:WINTER, SHELBY
Entity type:Individual
Prefix:
First Name:SHELBY
Middle Name:
Last Name:WINTER
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:204 E 6TH ST TRLR 16
Mailing Address - Street 2:
Mailing Address - City:MEAD
Mailing Address - State:NE
Mailing Address - Zip Code:68041-3159
Mailing Address - Country:US
Mailing Address - Phone:402-443-7851
Mailing Address - Fax:
Practice Address - Street 1:204 E 6TH ST TRLR 16
Practice Address - Street 2:
Practice Address - City:MEAD
Practice Address - State:NE
Practice Address - Zip Code:68041-3159
Practice Address - Country:US
Practice Address - Phone:402-443-7851
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-19
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No372500000XNursing Service Related ProvidersChore Provider
No372600000XNursing Service Related ProvidersAdult Companion