Shane David Nibley
Shane David Nibley is a Case Manager/Care Coordinator in South Lake Tahoe, California. Licensed in California. Registered with an NPI since 2025.
- Licensed in
- CA
- In the registry since
- 2025
- Specialties on file
- 3
Practice location Address checks out
3079 Harrison AveSouth Lake Tahoe, CA 96150-7976
Phone: (530) 957-6254
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Rehabilitation Practitioner (primary) | Taxonomy 225400000X |
|---|---|
| Case Manager/Care Coordinator | Taxonomy 171M00000X |
| Day Training/Habilitation Specialist | Taxonomy 373H00000X (CA) |
Record details
| NPI number | 1255200846 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | November 1, 2025 |
| Last updated in NPPES | December 11, 2025 |
| Certification date | December 11, 2025 |
Other providers in South Lake Tahoe
-
Marc Estabrook
3079 Harrison Ave Ste D, South Lake Tahoe, CA 96150-7976 · (916) 783-5207
-
Jonathan Graham
924 Emerald Bay Rd Ste A2, South Lake Tahoe, CA 96150-6434 · (530) 544-2111
-
Christian Michael Lynch, PRSS
3079 Harrison Ave Ste D, South Lake Tahoe, CA 96150-7976 · (916) 783-5207
-
Ashley Marie Mavon
1900 Lake Tahoe Blvd, South Lake Tahoe, CA 96150-6305 · (530) 573-7927
-
Alejandra Orozco
924 Emerald Bay Rd Ste A2, South Lake Tahoe, CA 96150-6434 · (530) 544-2111
-
Andres Orozco
2580 Lake Tahoe Blvd Ste D, South Lake Tahoe, CA 96150-7723 · (530) 544-2111
-
Kyle Pieters
924 Emerald Bay Rd Ste A2, South Lake Tahoe, CA 96150-6434 · (530) 544-2111
-
Mr. Nicholas Quazzo
2580 Lake Tahoe Blvd Ste D, South Lake Tahoe, CA 96150-7723 · (530) 544-2111