Shonda Clark, NP
NPI 1114308251 · Nurse Practitioner · Chicago, IL
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shonda Clark, NP is a Nurse Practitioner provider in Chicago, IL (NPI 1114308251).
Provider details
- NPI number
- 1114308251
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- License
- 1018533 (TX)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Mailing address
Additional practice locations (1)
- 1600 Coit Rd Ste 104Plano, TX 75075-6171Phone: (972) 566-5411Fax: (972) 519-8337
Registry dates
- Enumerated
- 2015-06-15
- Last updated
- 2021-09-24
- Certified
- 2021-09-24
Frequently asked questions
- What is Shonda Clark's NPI number?
- Shonda Clark's National Provider Identifier (NPI) is 1114308251, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shonda Clark's specialty?
- Shonda Clark is listed in the NPPES registry with a primary specialty of Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Shonda Clark located?
- Shonda Clark's practice location on file with NPPES is 5841 S Maryland Ave, Chicago, IL 60637-1447.
- What is Shonda Clark's phone number?
- The practice phone number listed in the NPPES registry for Shonda Clark is (773) 702-3844.
- Does Shonda Clark accept Medicare?
- Shonda Clark is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Shonda Clark's NPI active?
- Yes — Shonda Clark's NPI (1114308251) is active in the NPPES registry as of the last update on 2021-09-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.