Shannon Willems LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

SHANNON WILLEMS LLC

Practice address

910 S Rogers St Ste F
Clarksville, AR 72830-4331

Phone

(479) 355-5747

Fax

(479) 957-9083

NPI assigned

Oct 23, 2026

Last updated

Oct 23, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Shannon Willems, MSN, APRN, PMHNP-BCNPI 1871427872

Title

Member

Phone

(479) 979-7921

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shannon Willems, MSN, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Clarksville, AR
  • NPI 1871427872
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1792713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792713600000",
    "number": "1467359125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 APPLE TREE LN",
            "city": "CLARKSVILLE",
            "state": "AR",
            "postal_code": "728308502",
            "telephone_number": "479-979-7921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 S ROGERS ST STE F",
            "city": "CLARKSVILLE",
            "state": "AR",
            "postal_code": "728304331",
            "telephone_number": "479-355-5747",
            "fax_number": "479-957-9083"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "715 Apple Tree Ln",
            "address_purpose": "LOCATION",
            "city": "Clarksville",
            "state": "AR",
            "postal_code": "728308502",
            "country_code": "US",
            "telephone_number": "479-979-7921",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SHANNON WILLEMS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-23",
        "last_updated": "2026-10-23",
        "certification_date": "2026-10-23",
        "status": "A",
        "authorized_official_last_name": "WILLEMS",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "479-979-7921",
        "authorized_official_credential": "MSN, APRN, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sussannah Marie Schluterman, OT-A
• Sarabeth Schmoker
• Logan Schneider, RECOVERY ASSISTANT
• Kelsey Self
• Lisa Noelle Senter, AT
• Abbigale Sharp
• Destiny Sharp
• Brittany Shaw
• Daniel Shaw, RECOVERY ASSISTANT
• Darrell Shaw, CMP

• Psychiatric/Mental Health Nurse Practitioner in Clarksville, AR
• Providers in Clarksville, AR by specialty
• Psychiatric/Mental Health Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.