Individual provider Active NPI

Shannon Marie Langdon

  • Assisted Living Facility
  • Whitewater, WI
National Provider Identifier
1285592170
Registry record updated Jan 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
0019239 Issued in WI
Practice address
4233 N Scharine Rd
Whitewater, WI 53190-3519
Phone
(262) 949-3063
NPI assigned
Jan 12, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 0019239 WI Primary

Addresses

Primary practice location

4233 N Scharine Rd
Whitewater, WI 53190-3519

Mailing address

4233 N Scharine Rd
Whitewater, WI 53190-3519
Phone (262) 949-3063

Other practice location 1

N6032 State Road 89
Delavan, WI 53115-2422
Phone (262) 949-3063

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0019239WIMDAssisted Living Facility

NPI Registry JSON

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

{
    "created_epoch": "1768176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768176000000",
    "number": "1285592170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4233 N SCHARINE RD",
            "city": "WHITEWATER",
            "state": "WI",
            "postal_code": "531903519",
            "telephone_number": "262-949-3063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4233 N SCHARINE RD",
            "city": "WHITEWATER",
            "state": "WI",
            "postal_code": "531903519",
            "telephone_number": "262-949-3063"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "N6032 State Road 89",
            "address_purpose": "LOCATION",
            "city": "Delavan",
            "state": "WI",
            "postal_code": "531152422",
            "country_code": "US",
            "telephone_number": "262-949-3063",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANGDON",
        "first_name": "SHANNON",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-01-12",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "WI",
            "license": "0019239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitewater, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2026; 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.