What is Shannon Clark's NPI number?

Shannon Clark's National Provider Identifier (NPI) is 1700940855, 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 Contractor (Other Service Providers).

Where is Shannon Clark located?

Shannon Clark's practice location on file with NPPES is 12729 S Ox Cart Trl, Vail, AZ 85641-9232.

What is Shannon Clark's phone number?

The practice phone number listed in the NPPES registry for Shannon Clark is (512) 214-2841.

Is Shannon Clark's NPI active?

Yes — Shannon Clark's NPI (1700940855) is active in the NPPES registry as of the last update on 2024-12-26.

IndividualActive

Shannon Clark

NPI 1700940855 · Contractor · Vail, AZ

Shannon Clark is a Contractor provider in Vail, AZ (NPI 1700940855).

Provider details

NPI number: 1700940855
Entity type: Individual
Primary specialty: ContractorOther Service Providers
Sex: Female
Sole proprietor: Yes
License: 11816 (AZ)

Specialties & taxonomies

ContractorPrimary171W00000XLicense 11816 (AZ)
Other Service Providers

Profile Score

Detailed profile(90/100 index)

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

Registry tenure38% of score
19 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

12729 S Ox Cart Trl

Vail, AZ 85641-9232

Phone: (512) 214-2841

Fax: (520) 750-0056

Street-level locationGet directions

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Mailing address