WILLIAM SHANE FISHER
NPI 1295138568
Custodial Care Facility - Adult Care Home in Flagstaff, AZ

Q: What is William Fisher's NPI number?

The NPI number for William Fisher is 1295138568. It was assigned to this individual provider in the NPPES registry on October 1, 2014.

Q: What is William Fisher'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 William Fisher was last updated on March 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 October 01, 2014

PO BOX 30354, FLAGSTAFF, AZ 86003(928) 266-6493 Get Directions Write a Review

NPPES record last updated: March 17, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 17, 2026, May 16, 2019 (2 updates tracked since 2019).

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About William Shane Fisher NPPES

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

WILLIAM SHANE FISHER (NPI 1295138568) is an individual adult care home provider in Flagstaff, Arizona, licensed in Arizona (AL8133H) and active in the NPI registry since October 2014. He maintains 2 additional practice locations.

NPPES Registry Identity

NPI1295138568

Entity TypeIndividualMale

Primary Taxonomy311ZA0620X

Provider Legal NameWILLIAM SHANE FISHER

Location AddressPO BOX 30354Flagstaff, AZ 86003-0354

Mailing AddressPo Box 30354Flagstaff, AZ 86003-0354 · (928) 635-6750

Phone(928) 266-6493

Sole ProprietorYes

Enumeration DateOctober 1, 2014

Last NPPES UpdateMarch 17, 20262 updates tracked since enumeration

NPPES CertifiedMarch 17, 2026

✔ NPI 1295138568 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

License✔ Licensed in AZ · AL8133H

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.

PO BOX 30354, Flagstaff, AZ 86003

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Secondary Practice Locations 2

Location 17885 Easy StFlagstaff, AZ 86004-3268 · Phone (928) 522-8622

Location 26005 E Abineau Canyon DrFlagstaff, AZ 86004-7168 · Phone (928) 635-6750

Other Identifiers 1

Medicaid283460AZ

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 William Fisher's NPI number?

The NPI number for William Fisher is 1295138568. It was assigned to this individual provider in the NPPES registry on October 1, 2014.

Where is William Fisher located?

William Fisher practices at PO Box 30354, Flagstaff, AZ 86003. The listed phone number is (928) 266-6493.

What is William Fisher'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 William Fisher was last updated on March 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.