What is Shannon Clark's NPI number?

Shannon Clark's National Provider Identifier (NPI) is 1255052031, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Shannon Clark's specialty?

Shannon Clark is listed in the NPPES registry with a primary specialty of School Registered Nurse (Nursing Service Providers).

Where is Shannon Clark located?

Shannon Clark's practice location on file with NPPES is 1115 W 5th St, Tempe, AZ 85281-2510.

What is Shannon Clark's phone number?

The practice phone number listed in the NPPES registry for Shannon Clark is (480) 929-9909.

Is Shannon Clark's NPI active?

Yes — Shannon Clark's NPI (1255052031) is active in the NPPES registry as of the last update on 2022-09-08.

IndividualActive

Shannon Clark, RN CCM

NPI 1255052031 · School Registered Nurse · Tempe, AZ

Shannon Clark, RN CCM is a School Registered Nurse provider in Tempe, AZ (NPI 1255052031).

Provider details

NPI number: 1255052031
Entity type: Individual
Primary specialty: School Registered NurseNursing Service Providers
Credential: RN CCM
Sex: Female
Sole proprietor: No
License: 242334 (AZ)

Specialties & taxonomies

School Registered NursePrimary163WS0200XLicense 242334 (AZ)
Nursing Service Providers

Profile Score

Established profile(60/100 index)

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

Registry tenure38% of score
3 yrs in NPPES 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

1115 W 5th St

Tempe, AZ 85281-2510

Phone: (480) 929-9909

Fax: (480) 804-0384

Street-level locationGet directions

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Mailing address