Shannon Marie Fender

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Practice address

18609 Lappans Rd
Boonsboro, MD 21713-1952

Phone

(240) 291-5965

NPI assigned

May 16, 2023

Last updated

Apr 10, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1684195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744243200000",
    "number": "1013608678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 CENTRAL AVE",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217403670",
            "telephone_number": "240-291-5965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18609 LAPPANS RD",
            "city": "BOONSBORO",
            "state": "MD",
            "postal_code": "217131952",
            "telephone_number": "240-291-5965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENDER",
        "first_name": "SHANNON",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-16",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dialog Healthcare LLC
• Maria Teresa Elizalde, CRNP
• Fahrney-Keedy Memorial Home, Inc (Fahrney-Keedy)
• Fahrney-Keedy Memorial Home, Inc. (Jone L. Bowman Adult Medical Day Center at Fahmey-Keedy)
• Keith Fanjoy, LCSW-C
• Kenneth Anson Film, DDS
• Michael Fitzgerald
• Kelly Ann Flemming, PTA
• Edward James Galligan
• Green Valley Therapy, L.L.C.

• Home Health Agency in Boonsboro, MD
• Providers in Boonsboro, MD by specialty
• Home Health Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.