SHANNON CLARKE
NPI 1215737507
Nurse Practitioner - Psychiatric/Mental Health in Austin, TX

Active since March 15, 2025
6705 W HIGHWAY 290 STE 607-107, AUSTIN, TX 78735(512) 679-6164 Get Directions Write a Review

NPPES record last updated: March 15, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Shannon Clarke NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANNON CLARKE (NPI 1215737507) is an individual psychiatric/mental health provider in Austin, Texas, licensed in Texas (1192217) and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1215737507
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSHANNON CLARKE
Location Address6705 W HIGHWAY 290 STE 607-107Austin, TX 78735-8400
Mailing Address6705 W Highway 290 Ste 607-107Austin, TX 78735-8400 · (512) 679-6164
Sole ProprietorYes
Enumeration DateMarch 15, 2025
NPPES CertifiedMarch 15, 2025
NPI 1215737507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in TX · 1192217
6705 W HIGHWAY 290 STE 607-107, Austin, TX 78735

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shannon Clarke's NPI number?

The NPI number for Shannon Clarke is 1215737507. It was assigned to this individual provider in the NPPES registry on March 15, 2025.

Where is Shannon Clarke located?

Shannon Clarke practices at 6705 W Highway 290 Ste 607-107, Austin, TX 78735. The listed phone number is (512) 679-6164.

What is Shannon Clarke's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Shannon Clarke was last updated on March 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.