SHELLY LYNN NIBLACK CDC L
NPI 1255996351
Counselor - Addiction (Substance Use Disorder) in Kenai, AK

Active since May 03, 2019
10200, KENAI SOUR HWY, KENAI, AK 99611(907) 283-3658 Get Directions Write a Review

NPPES record last updated: May 3, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shelly Lynn Niblack Cdc L NPPES

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

SHELLY LYNN NIBLACK CDC L (NPI 1255996351) is an individual addiction (substance use disorder) provider in Kenai, Alaska and active in the NPI registry since May 2019.

NPPES Registry Identity

NPI1255996351
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameSHELLY LYNN NIBLACKCredential: CDC L
Location Address10200, KENAI SOUR HWYKenai, AK 99611
Mailing AddressPo Box 882Kenai, AK 99611-0882 · (907) 283-3658
Sole ProprietorNo
Enumeration DateMay 3, 2019
NPI 1255996351 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
10200, Kenai, AK 99611

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 Shelly Niblack's NPI number?

The NPI number for Shelly Niblack is 1255996351. It was assigned to this individual provider in the NPPES registry on May 3, 2019.

Where is Shelly Niblack located?

Shelly Niblack practices at 10200 Kenai Sour Hwy, Kenai, AK 99611. The listed phone number is (907) 283-3658.

What is Shelly Niblack's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Shelly Niblack was last updated on May 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.