SHALYN FULLER
NPI 1124977012
Custodial Care Facility - Adult Care Home in Waukesha, WI

Q: What is Shalyn Fuller's NPI number?

The NPI number for Shalyn Fuller is 1124977012. It was assigned to this individual provider in the NPPES registry on January 24, 2026.

Q: What is Shalyn Fuller's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

Q: When was this NPI record last updated?

The NPPES record for Shalyn Fuller was last updated on January 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since January 24, 2026

3610 SHADE TREE CT, WAUKESHA, WI 53188(414) 397-1594 Get Directions Write a Review

NPPES record last updated: January 24, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Shalyn Fuller NPPES

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

SHALYN FULLER (NPI 1124977012) is an individual adult care home provider in Waukesha, Wisconsin and active in the NPI registry since January 2026.

NPPES Registry Identity

NPI1124977012

Entity TypeIndividualFemale

Primary Taxonomy311ZA0620X

Provider Legal NameSHALYN FULLER

Location Address3610 SHADE TREE CTWaukesha, WI 53188-9573

Mailing Address3610 Shade Tree CtWaukesha, WI 53188-9573 · (414) 397-1594

Phone(414) 397-1594

Sole ProprietorNo

Enumeration DateJanuary 24, 2026

NPPES CertifiedJanuary 24, 2026

✔ NPI 1124977012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities

Taxonomy Code311ZA0620X

Definition

A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

3610 SHADE TREE CT, Waukesha, WI 53188

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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 Shalyn Fuller's NPI number?

The NPI number for Shalyn Fuller is 1124977012. It was assigned to this individual provider in the NPPES registry on January 24, 2026.

Where is Shalyn Fuller located?

Shalyn Fuller practices at 3610 Shade Tree Ct, Waukesha, WI 53188. The listed phone number is (414) 397-1594.

What is Shalyn Fuller's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Shalyn Fuller was last updated on January 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.