NPPES file of Aug 9, 2026

Shane David Nibley

Rehabilitation Practitioner · South Lake Tahoe, CA

Shane David Nibley is a rehabilitation practitioner with a practice address in South Lake Tahoe, California, and NPI 1255200846, issued on Nov 1, 2025. Check the license with the California board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1255200846
Name
Shane David Nibley
Primary taxonomy
Rehabilitation Practitioner 225400000X
Practice location
3079 Harrison Ave, South Lake Tahoe, CA 96150
Phone
(530) 957-6254
Enumerated
Nov 1, 2025
Record last updated
Dec 11, 2025
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). A record is not a license: verify it with the state board.
Download card Updates feed

Also registered at 3079 Harrison Ave

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Andrea Carsoner-LandryBehavior Technician1255095634
  2. Jeramy DantzlerHealth Educator1851198972
  3. Rebecca RojasCase Manager/Care Coordinator1699215608
  4. Patrick Traynor, RDRegistered Dietitian1477236347

Verify Shane David Nibley in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich California board licenses this professionCheck the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the California license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

Is this page about you? You can ask us to correct, restrict or remove it: how.

Rehabilitation Practitioner providers in California

There are 13,765 rehabilitation practitioner records in California. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.

All 13,765 in California → Every provider in South Lake Tahoe →

Other rehabilitation practitioner records in California

  1. Van ;eCommerce, CA1336565407
  2. Rebecca AaronSanta Ana, CA1891550034
  3. Valdorsey AaronCulver City, CA1639649809
  4. Monica AbadEl Monte, CA1760876031
  5. Toni AbadFountain Valley, CA1518633106
  6. Alexia AbarcaTustin, CA1427849769
  7. Armando AbarcaSan Diego, CA1902762503
  8. Siomara AbarcaVan Nuys, CA1134740830
  9. Martha AbarzaNorthridge, CA1407273022
  10. Anthony AbbottCommerce, CA1871739375

Common questions

What is Shane David Nibley's NPI number?

Shane David Nibley's National Provider Identifier (NPI) is 1255200846, issued on Nov 1, 2025. An NPI identifies a provider in billing; it is not a license.

Where is Shane David Nibley located?

The NPPES record lists a practice address at 3079 Harrison Ave, South Lake Tahoe, CA, 96150. Phone: (530) 957-6254. Providers update this record themselves, so call before visiting.

How can I verify Shane David Nibley's license?

Search the California board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.

Written with AI tools from the named public files; every figure is computed from those files (how it is made).

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.