What is Shane Clark's NPI number?

Shane Clark's National Provider Identifier (NPI) is 1023956257, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Shane Clark's specialty?

Shane Clark is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse (Nursing Service Providers).

Where is Shane Clark located?

Shane Clark's practice location on file with NPPES is 5107 Goodyear Dr, Dayton, OH 45406-1135.

What is Shane Clark's phone number?

The practice phone number listed in the NPPES registry for Shane Clark is (937) 422-6497.

Is Shane Clark's NPI active?

Yes — Shane Clark's NPI (1023956257) is active in the NPPES registry as of the last update on 2026-03-21.

IndividualActive

Shane Clark

NPI 1023956257 · Licensed Practical Nurse · Dayton, OH

Shane Clark is a Licensed Practical Nurse provider in Dayton, OH (NPI 1023956257).

Provider details

NPI number: 1023956257
Entity type: Individual
Primary specialty: Licensed Practical NurseNursing Service Providers
Sex: Female
Sole proprietor: Yes
License: 194609 (OH)

Specialties & taxonomies

Licensed Practical NursePrimary164W00000XLicense 194609 (OH)
Nursing Service Providers

Profile Score

Established profile(53/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
Under 1 yr in registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

5107 Goodyear Dr

Dayton, OH 45406-1135

Phone: (937) 422-6497

Street-level locationGet directions

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Mailing address