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SHANNON M FAHEY
NPI 1497592075
Day Training/Habilitation Specialist in Egg Harbor, WI

Active since July 11, 2024
4976 PLUM BOTTOM RD, EGG HARBOR, WI 54209(920) 418-3330 Get Directions Write a Review

NPPES record last updated: July 11, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shannon M Fahey NPPES

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

SHANNON M FAHEY (NPI 1497592075) is an individual day training/habilitation specialist in Egg Harbor, Wisconsin and active in the NPI registry since July 2024.

NPPES Registry Identity

NPI1497592075
Entity TypeIndividualFemale
Primary Taxonomy373H00000X
Provider Legal NameSHANNON M FAHEY
Location Address4976 PLUM BOTTOM RDEgg Harbor, WI 54209-9147
Mailing Address4976 Plum Bottom RdEgg Harbor, WI 54209-9147 · (920) 418-3330
Phone(920) 418-3330
Sole ProprietorNo
Enumeration DateJuly 11, 2024
NPPES CertifiedJuly 11, 2024
✔ NPI 1497592075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDay Training/Habilitation SpecialistNursing Service Related Providers
Taxonomy Code373H00000X
Definition
Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living.
4976 PLUM BOTTOM RD, Egg Harbor, WI 54209
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Other Names 1

Former Name (1)Shannon M Wautier

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 Fahey's NPI number?

The NPI number for Shannon Fahey is 1497592075. It was assigned to this individual provider in the NPPES registry on July 11, 2024. The provider is also known as Shannon M Wautier.

Where is Shannon Fahey located?

Shannon Fahey practices at 4976 Plum Bottom Rd, Egg Harbor, WI 54209. The listed phone number is (920) 418-3330.

What is Shannon Fahey's specialty?

The primary specialty registered for this NPI is Day Training/Habilitation Specialist with taxonomy code 373H00000X.

When was this NPI record last updated?

The NPPES record for Shannon Fahey was last updated on July 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.