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SHAVON MC CULLOUGH
NPI 1417757105
Technician - Personal Care Attendant in Lincoln, NE

Active since March 13, 2025
320 N 36TH ST UNIT 124, LINCOLN, NE 68503(531) 220-2165 Get Directions Write a Review

NPPES record last updated: March 13, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shavon Mc Cullough NPPES

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

SHAVON MC CULLOUGH (NPI 1417757105) is an individual personal care attendant in Lincoln, Nebraska and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1417757105
Entity TypeIndividualFemale
Primary Taxonomy3747P1801X
Provider Legal NameSHAVON MC CULLOUGH
Location Address320 N 36TH ST UNIT 124Lincoln, NE 68503-3364
Mailing Address320 N 36th St Unit 124Lincoln, NE 68503-3364 · (531) 220-2165
Phone(531) 220-2165
Sole ProprietorNo
Enumeration DateMarch 13, 2025
NPPES CertifiedMarch 13, 2025
✔ NPI 1417757105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician · Personal Care AttendantNursing Service Related Providers
Taxonomy Code3747P1801X
Definition
An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards
320 N 36TH ST UNIT 124, Lincoln, NE 68503
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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 Shavon Mc Cullough's NPI number?

The NPI number for Shavon Mc Cullough is 1417757105. It was assigned to this individual provider in the NPPES registry on March 13, 2025.

Where is Shavon Mc Cullough located?

Shavon Mc Cullough practices at 320 N 36th St Unit 124, Lincoln, NE 68503. The listed phone number is (531) 220-2165.

What is Shavon Mc Cullough's specialty?

The primary specialty registered for this NPI is Technician, specializing in Personal Care Attendant, with taxonomy code 3747P1801X.

When was this NPI record last updated?

The NPPES record for Shavon Mc Cullough was last updated on March 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.