SHANNON DEE WASSAM
NPI 1356465033
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Smithton, MO

Q: What is Shannon Wassam's NPI number?

The NPI number for Shannon Wassam is 1356465033. It was assigned to this individual provider in the NPPES registry on March 19, 2007.

Q: What is Shannon Wassam's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

Q: When was this NPI record last updated?

The NPPES record for Shannon Wassam was last updated on October 7, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since March 19, 2007

308 E SMITH ST, SMITHTON, MO 65350(660) 343-3681(660) 343-5871 Get Directions Write a Review

NPPES record last updated: October 7, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Shannon Dee Wassam NPPES

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

SHANNON DEE WASSAM (NPI 1356465033) is an individual community based residential treatment facility, intellectual and/or developmental disabilities provider in Smithton, Missouri and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1356465033

Entity TypeIndividualFemale

Primary Taxonomy320900000X

Provider Legal NameSHANNON DEE WASSAM

Location Address308 E SMITH STSmithton, MO 65350-1079

Mailing AddressPo Box 513, 308 E SmithSmithton, MO 65350-0513 · (660) 343-3681 · Fax (660) 343-5871

Phone(660) 343-3681

Fax(660) 343-5871

Sole ProprietorYes

Enumeration DateMarch 19, 2007

Last NPPES UpdateOctober 7, 2014

✔ NPI 1356465033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities

Taxonomy Code320900000X

Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

308 E SMITH ST, Smithton, MO 65350

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Other Providers at the Same Location NPPES

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

LASTING IMPRESSIONS GROUP HOME

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

308 E SMITH ST
SMITHTON, MO 65350

Pettis County (660) 343-3681

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 Shannon Wassam's NPI number?

The NPI number for Shannon Wassam is 1356465033. It was assigned to this individual provider in the NPPES registry on March 19, 2007.

Where is Shannon Wassam located?

Shannon Wassam practices at 308 E Smith St, Smithton, MO 65350. The listed phone number is (660) 343-3681.

What is Shannon Wassam's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Shannon Wassam was last updated on October 7, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.