Clark, Nelson, and Associates, Inc.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

CLARK, NELSON, AND ASSOCIATES, INC.

Doing business as

Clark, Nelson, and Associates, Inc.

Practice address

2600 S Michigan Ave
Ste LLD
Chicago, IL 60616

Phone

(312) 866-4642

NPI assigned

Sep 26, 2019

Organization subpart

No

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

Authorized official

Name

Shammona Clark, NP-CNPI 1235785809

Title

Family Nurse Practitioner

Phone

(574) 298-3090

Specialties & licenses 2

Addresses

Other names 1

• Clark, Nelson, and Associates, Inc. Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shammona Clark, FNP-C

  • Family Nurse Practitioner
  • Chicago, IL
  • NPI 1235785809
  Medicare reassignment Authorized official
• Jawan Lasley

  • Family Nurse Practitioner
  • Chicago, IL
  • NPI 1871256669
  Medicare reassignment NPD
• Katerina Bell

  • Family Nurse Practitioner
  • Baltimore, MD
  • NPI 1659761211

  IL

  Medicare reassignment
• Ghana Dorsey, PMHNP-BC, FNP-BC FPA

  • Psychiatric/Mental Health Nurse Practitioner
  • Elkridge, MD
  • NPI 1043680325

  IL

  Medicare reassignment

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

{
    "created_epoch": "1569456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1902457450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 S MICHIGAN AVE",
            "address_2": "STE LLD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60616",
            "telephone_number": "312-866-4642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 S MICHIGAN AVE",
            "address_2": "STE LLD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60616",
            "telephone_number": "312-866-4642"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7533 S Center View Ct Ste N",
            "address_purpose": "LOCATION",
            "city": "West Jordan",
            "state": "UT",
            "postal_code": "840845526",
            "country_code": "US",
            "telephone_number": "312-866-4642",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CLARK, NELSON, AND ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-26",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "SHAMMONA",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "574-298-3090",
        "authorized_official_credential": "NP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clark, Nelson, and Associates, Inc.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Clark, Nelson, and Associates, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Margaret Harrigan Clark, M.A.
• Marlena Clark, PHD
• Melissa A Clark, LCSW
• Mike A Clark, OT
• Nancy S Clark, MD
• Richard N Clark Jr., MD
• Rona Clark
• Sara Elizabeth Clark, MS, OTR/L
• Sarah Clark, LCSW
• Sarah Beth Clark, DNP, FNP-BC

• Family Nurse Practitioner in Chicago, IL
• Providers in Chicago, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.