William Shane Fisher

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

AL8133H Issued in AZ

Practice address

PO Box 30354
Flagstaff, AZ 86003-0354

Phone

(928) 266-6493

NPI assigned

Oct 1, 2014

Last updated

Mar 17, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eldercare Springs

  • Adult Care Home Facility
  • Flagstaff, AZ
  • NPI 1770149635
  NPD (past) Authorized official
• Arizona Independent Medical Associates

  • Internal Medicine Physician
  • Sedona, AZ
  • NPI 1790017473
  NPD (past)
• Pine Meadows Ranch

  • Assisted Living Facility
  • Flagstaff, AZ
  • NPI 1629325782
  NPD (past)

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

{
    "created_epoch": "1412121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773705600000",
    "number": "1295138568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30354",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860030354",
            "telephone_number": "928-635-6750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 30354",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860030354",
            "telephone_number": "928-266-6493"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6005 E Abineau Canyon Dr",
            "address_purpose": "LOCATION",
            "city": "Flagstaff",
            "state": "AZ",
            "postal_code": "860047168",
            "country_code": "US",
            "telephone_number": "928-635-6750",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7885 Easy St",
            "address_purpose": "LOCATION",
            "city": "Flagstaff",
            "state": "AZ",
            "postal_code": "860043268",
            "country_code": "US",
            "telephone_number": "928-522-8622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FISHER",
        "first_name": "WILLIAM",
        "middle_name": "SHANE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-10-01",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "AZ",
            "license": "AL8133H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "283460",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• First Care Nursing, PLLC
• First Choice in Home Care
• Lynn B Firth, M.S.
• Colleen Marie Fischman, OD
• Ryan M Fisher
• Flag Nutrition, LLC
• Flagstaff Advanced Surgical Assistants PLLC
• Flagstaff Az Caregiving LLC
• Flagstaff Birth and Health Center
• Flagstaff Birth and Women's Health

• Adult Care Home Facility in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Adult Care Home Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.