Individual provider Active NPI

Shannon Rachelle Clint, FNP-C

  • Family Nurse Practitioner
  • San Tan Valley, AZ
National Provider Identifier
1609638311
Registry record updated Mar 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
302489 Issued in AZ
Practice address
287 E Hunt Hwy Ste 105
San Tan Valley, AZ 85143-5096
Phone
(480) 677-8282
Fax
(888) 316-1686
NPI assigned
Jan 29, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 302489 AZ Primary

Addresses

Primary practice location

287 E Hunt Hwy Ste 105
San Tan Valley, AZ 85143-5096

Mailing address

261 N Roosevelt Ave
Chandler, AZ 85226-2617
Phone (480) 677-8282

Other identifiers 1

IdentifierTypeStateIssuer
204599MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240316000488 AZ Practitioner - Nurse Practitioner 5890131577 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Good Health Medical PLLCGroup PAC ID 3779680962, 215 clinicians
Chikwendu C Nwosu MD LLCGroup PAC ID 5698950178, 11 clinicians
Stripes Urgent Care LLCGroup PAC ID 4082913058, 7 clinicians

Practice addresses (Care Compare)

287 E Hunt Hwy
Suite 105
San Tan Valley, AZ 85143-5096
Phone (480) 677-8282

2919 S Ellsworth Rd
Suite 139
Mesa, AZ 85212-2168
Phone (480) 984-5225

6820 S Kings Ranch Rd
Suite 130
Gold Canyon, AZ 85118-2959
Phone (480) 246-3411

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
302489AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Good Health Medical, PLLC CurrentSince Mar 9, 2026 Accepting new patients
Good Health Medical, PLLC CurrentSince Mar 9, 2026 Accepting new patients
Chikwendu C Nwosu MD LLC Family CurrentSince Jan 1, 2025 Accepting new patients
Prescott Healthcare Solutions LLC Family CurrentSince Feb 8, 2024 Accepting new patients
The Little Clinic of Arizona LLC Family CurrentSince Nov 19, 2024 Accepting new patients

Locations

560 N Camino Mercado
Ste 7
Casa Grande, AZ 85122
Phone (520) 836-5538

261 N Roosevelt Ave
Chandler, AZ 85226
Phone (480) 305-2888

6820 S Kings Ranch Rd
Ste 130
Gold Canyon, AZ 85118
Phone (480) 246-3411

2919 S Ellsworth Rd
Ste 139
Mesa, AZ 85212
Phone (480) 246-3411

8914 N 91st Ave
Ste 100
Peoria, AZ 85345
Phone (623) 877-0100

2727 W Bell Rd
Phoenix, AZ 85053
Phone (602) 680-2386

3151 N Windsong Dr
Prescott Vly, AZ 86314
Phone (928) 458-7583

3251 N Windsong Dr
Prescott Vly, AZ 86314
Phone (928) 772-2582

22355 E Queen Creek Rd
Ste 103
Queen Creek, AZ 85142

287 E Hunt Hwy
Ste 105
San Tan Valley, AZ 85143
Phone (480) 667-8282

155 W Combs Rd
San Tan Vly, AZ 85140
Phone (480) 474-6601

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1706486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772755200000",
    "number": "1609638311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 N ROOSEVELT AVE",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852262617",
            "telephone_number": "480-677-8282",
            "fax_number": "888-316-1686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "287 E HUNT HWY STE 105",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851435096",
            "telephone_number": "480-677-8282",
            "fax_number": "888-316-1686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLINT",
        "first_name": "SHANNON",
        "middle_name": "RACHELLE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-29",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "302489",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "204599",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Tan Valley, AZ

Sources for this page

Verify at the official NPI Registry.