NPPES file of Aug 9, 2026

Shannon Jackie Clark

Contractor · Vail, AZ

Shannon Jackie Clark is a contractor with a practice address in Vail, Arizona, and NPI 1700940855, issued on Dec 21, 2006. Check the license (Arizona 11816, as entered in NPPES) with the Arizona board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1700940855
Name
Shannon Jackie Clark
Primary taxonomy
Contractor 171W00000X
License number
11816 AZ
Self-reported in NPPES; status is on the state search
Practice location
12729 S OX Cart Trl, Vail, AZ 85641
Phone
(512) 214-2841
Enumerated
Dec 21, 2006
Record last updated
Dec 26, 2024
Fax
(520) 750-0056
Medicaid ID
162753 AZ
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). A record is not a license: verify it with the state board.
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Verify Shannon Jackie Clark in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Arizona board licenses this profession
    Search for license 11816    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Arizona license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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7 contractor records list a practice address in Vail

They are 7 of the 160 NPPES records with a practice address in Vail, and 323 contractor records in Arizona. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.

All 7 in Vail → All 323 in Arizona → Every provider in Vail →

Other contractor records in Arizona

  1. Mozamil AbdelrahmanPhoenix, AZ1952700288
  2. Qahtan AbdulameerGlendale, AZ1033800628
  3. Layla AbujabelPhoenix, AZ1558778670
  4. Virginia AdamsPhoenix, AZ1922859131
  5. Guadalupe AguirreTucson, AZ1942752530
  6. Brian AishTucson, AZ1205988771
  7. Saad AliGlendale, AZ1316785736
  8. Brandon AliceCave Creek, AZ1508225566
  9. Melissa AndersonTucson, AZ1306997317
  10. Rochelle AndersonPhoenix, AZ1588094445

Common questions

What is Shannon Jackie Clark's NPI number?

Shannon Jackie Clark's National Provider Identifier (NPI) is 1700940855, issued on Dec 21, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Shannon Jackie Clark located?

The NPPES record lists a practice address at 12729 S OX Cart Trl, Vail, AZ, 85641. Phone: (512) 214-2841. Providers update this record themselves, so call before visiting.

How can I verify Shannon Jackie Clark's license?

NPPES lists Arizona license number 11816, as entered by the provider. Search the Arizona board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.

Written with AI tools from the named public files; every figure is computed from those files (how it is made).

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.