SHANNON L CLARK RN CCM
NPI 1255052031
Registered Nurse - School in Tempe, AZ

Active since September 08, 2022
1115 W 5TH ST, TEMPE, AZ 85281(480) 929-9909(480) 804-0384 Get Directions Write a Review

NPPES record last updated: September 8, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shannon L Clark Rn Ccm NPPES

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

SHANNON L CLARK RN CCM (NPI 1255052031) is an individual school provider in Tempe, Arizona, licensed in Arizona (242334) and active in the NPI registry since September 2022.

NPPES Registry Identity

NPI1255052031
Entity TypeIndividualFemale
Primary Taxonomy163WS0200X
Provider Legal NameSHANNON L CLARKCredential: RN CCM
Location Address1115 W 5TH STTempe, AZ 85281-2510
Mailing Address1115 W 5th StTempe, AZ 85281-2510 · (480) 929-9909 · Fax (480) 804-0384
Fax(480) 804-0384
Sole ProprietorNo
Enumeration DateSeptember 8, 2022
NPPES CertifiedSeptember 8, 2022
NPI 1255052031 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRegistered Nurse · SchoolNursing Service Providers
Taxonomy Code163WS0200X
License Licensed in AZ · 242334
1115 W 5TH ST, Tempe, AZ 85281

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist/Technologist (Speech-Language Assistant)
1115 W 5TH ST
TEMPE, AZ 85281
Speech-Language Pathologist
1115 W 5TH ST
TEMPE, AZ 85281

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 Clark's NPI number?

The NPI number for Shannon Clark is 1255052031. It was assigned to this individual provider in the NPPES registry on September 8, 2022.

Where is Shannon Clark located?

Shannon Clark practices at 1115 W 5th St, Tempe, AZ 85281. The listed phone number is (480) 929-9909.

What is Shannon Clark's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in School, with taxonomy code 163WS0200X.

When was this NPI record last updated?

The NPPES record for Shannon Clark was last updated on September 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.