SHANNA G CLARK LPN
NPI 1831442698
Licensed Practical Nurse in Fort Edward, NY

Q: What is Shanna Clark's NPI number?

The NPI number for Shanna Clark is 1831442698. It was assigned to this individual provider in the NPPES registry on October 18, 2012.

Q: What is Shanna Clark's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Shanna Clark was last updated on October 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since October 18, 2012

130 WHITE BIRCH EST, FORT EDWARD, NY 12828(518) 415-8643 Get Directions Write a Review

NPPES record last updated: October 28, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 28, 2020, Jun 11, 2019 (2 updates tracked since 2019).

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About Shanna G Clark Lpn NPPES

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

SHANNA G CLARK LPN (NPI 1831442698) is an individual licensed practical nurse in Fort Edward, New York, licensed in New York (277227) and active in the NPI registry since October 2012. She maintains a secondary practice location in Ballston Spa.

NPPES Registry Identity

NPI1831442698

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameSHANNA G CLARKCredential: LPN

Location Address130 WHITE BIRCH ESTFort Edward, NY 12828-9275

Mailing Address130 White Birch EstFort Edward, NY 12828-9275 · (518) 415-8643

Phone(518) 415-8643

Sole ProprietorNo

Enumeration DateOctober 18, 2012

Last NPPES UpdateOctober 28, 20202 updates tracked since enumeration

NPPES CertifiedOctober 28, 2020

✔ NPI 1831442698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in NY · 277227

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

130 WHITE BIRCH EST, Fort Edward, NY 12828

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Secondary Practice Location 1

Location 1357 Milton AveBallston Spa, NY 12020-1441 · Phone (518) 491-2806

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 Shanna Clark's NPI number?

The NPI number for Shanna Clark is 1831442698. It was assigned to this individual provider in the NPPES registry on October 18, 2012.

Where is Shanna Clark located?

Shanna Clark practices at 130 White Birch Est, Fort Edward, NY 12828. The listed phone number is (518) 415-8643.

What is Shanna Clark's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Shanna Clark was last updated on October 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.