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Shana Clark, LPN
NPI 1528783172 · Licensed Practical Nurse · Watertown, NY
Shana Clark, LPN is a Licensed Practical Nurse provider in Watertown, NY (NPI 1528783172).
Provider details
- NPI number
- 1528783172
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- No
- License
- 329830 (NY)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Established profile(64/100 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
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
211 Jb Wise Pl
Watertown, NY 13601-2507
Phone: (315) 782-7445
Fax: (315) 779-1184
Street-level locationGet directions
Mailing address
Po Box 6550
Watertown, NY 13601-6550
Additional practice locations (1)
- 1704 State StWatertown, NY 13601-3102Phone: (315) 788-7430Fax: (315) 779-1184
Registry dates
- Enumerated
- 2022-10-06
- Last updated
- 2022-10-06
- Certified
- 2022-10-06
Frequently asked questions
- What is Shana Clark's NPI number?
- Shana Clark's National Provider Identifier (NPI) is 1528783172, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shana Clark's specialty?
- Shana Clark is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse (Nursing Service Providers).
- Where is Shana Clark located?
- Shana Clark's practice location on file with NPPES is 211 Jb Wise Pl, Watertown, NY 13601-2507.
- What is Shana Clark's phone number?
- The practice phone number listed in the NPPES registry for Shana Clark is (315) 782-7445.
- Is Shana Clark's NPI active?
- Yes — Shana Clark's NPI (1528783172) is active in the NPPES registry as of the last update on 2022-10-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.