1. Home
  2. Directory
  3. California
  4. San Leandro
  5. Licensed Practical Nurse
  6. NPI Profile

SHAWNTALE RIDEAU LVN
NPI 1154297356
Licensed Practical Nurse in San Leandro, CA

Active since October 14, 2025
1850 FAIRWAY DR, SAN LEANDRO, CA 94577(510) 219-4876 Get Directions Write a Review

NPPES record last updated: October 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shawntale Rideau Lvn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHAWNTALE RIDEAU LVN (NPI 1154297356) is an individual licensed practical nurse in San Leandro, California, licensed in California (735929) and active in the NPI registry since October 2025.

NPPES Registry Identity

NPI1154297356
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameSHAWNTALE RIDEAUCredential: LVN
Location Address1850 FAIRWAY DRSan Leandro, CA 94577-5629
Mailing Address1850 Fairway DrSan Leandro, CA 94577-5629
Phone(510) 219-4876
Sole ProprietorYes
Enumeration DateOctober 14, 2025
NPPES CertifiedOctober 14, 2025
✔ NPI 1154297356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in CA · 735929
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
1850 FAIRWAY DR, San Leandro, CA 94577
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTIAN CHUKWUKA OKPAH
Licensed Vocational Nurse
1850 FAIRWAY DR
SAN LEANDRO, CA 94577
Alameda County (510) 433-1150
JONATHAN YOUNG
Specialist
1850 FAIRWAY DR
SAN LEANDRO, CA 94577
Alameda County (510) 410-0157
ASHLLE HARDY
Social Worker
1850 FAIRWAY DR
SAN LEANDRO, CA 94577
Alameda County (844) 327-1150
LESLEY CHANG RD
Dietitian, Registered
1850 FAIRWAY DR
SAN LEANDRO, CA 94577
Alameda County (510) 913-4429
KATHLEEN EDMUNDS1
Physical Therapist
1850 FAIRWAY DR
SAN LEANDRO, CA 94577
Alameda County (510) 435-4708
DR. ERIN-CLARISSE DE LEON DPT
Physical Therapist
1850 FAIRWAY DR
SAN LEANDRO, CA 94577
Alameda County (510) 433-1150
BARSHA PARAJULI
Social Worker
1850 FAIRWAY DR
SAN LEANDRO, CA 94577
Alameda County (510) 433-1150
LISA SENG
Nurse Practitioner
1850 FAIRWAY DR
SAN LEANDRO, CA 94577
Alameda County (510) 746-0500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shawntale Rideau's NPI number?

The NPI number for Shawntale Rideau is 1154297356. It was assigned to this individual provider in the NPPES registry on October 14, 2025.

Where is Shawntale Rideau located?

Shawntale Rideau practices at 1850 Fairway Dr, San Leandro, CA 94577. The listed phone number is (510) 219-4876.

What is Shawntale Rideau's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Shawntale Rideau was last updated on October 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.