Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Mrs. Shannon Jackie Clark

Contractor in Vail, AZ · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1700940855

Verified

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Registry record

Entity type Individual (Type 1)

Name Mrs. Shannon Jackie Clark

Sex Female

Practice address Vail, AZ, 85641

Phone (512) 214-2841

Fax (520) 750-0056

Enumeration date Dec 21, 2006

Last updated in NPPES Dec 26, 2024

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

171W00000X Contractor Other Service Providers · License 11816 (AZ) Primary

Other identifiers

Identifier	Type	State	Issuer
162753	Medicaid	AZ	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where does Shannon Clark practice?

The practice location on file with NPPES is in Vail, AZ. Providers can have multiple locations; NPPES lists the primary practice address.

What is the NPI number for Shannon Clark?

The National Provider Identifier (NPI) for Shannon Clark is 1700940855, a Type 1 (individual) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-12-26.