Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Mrs. Shanta Lynn Clark, P.A.-C
Physician Assistant in Dowagiac, MI · enumerated 2015.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1790169688
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Registry record
Entity type Individual (Type 1)
Name Mrs. Shanta Lynn Clark
Credential P.A.-C
Sex Female
Practice address 58620 Sink Rd, Pokagon Health Services, Dowagiac, MI, 49047
Phone (269) 782-4141
Enumeration date Jul 10, 2015
Last updated in NPPES Jul 10, 2015
Taxonomy & licenses
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 5601007413 (MI) Primary
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.
Frequently asked questions
How do I verify Shanta Clark's NPI record?
Cross-check NPI 1790169688 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.
Is NPI 1790169688 active?
Yes, as of the latest NPPES snapshot, NPI 1790169688 is active (record last updated 2015-07-10).
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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-07-10.