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SHANNON GODBOLT APNP
NPI 1497228712
Nurse Practitioner in Kenosha, WI

Active since January 09, 2019
6308 8TH AVE # 3030, KENOSHA, WI 53143(262) 656-3600(262) 656-3615 Get Directions Write a Review

NPPES record last updated: January 9, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shannon Godbolt Apnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANNON GODBOLT APNP (NPI 1497228712) is an individual nurse practitioner in Kenosha, Wisconsin, licensed in Wisconsin (7384) and active in the NPI registry since January 2019.

NPPES Registry Identity

NPI1497228712
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSHANNON GODBOLTCredential: APNP
Location Address6308 8TH AVE # 3030Kenosha, WI 53143-5031
Mailing Address6308 8th Ave # 3030Kenosha, WI 53143-5031 · (262) 656-3600 · Fax (262) 656-3615
Phone(262) 656-3600
Fax(262) 656-3615
Sole ProprietorNo
Enumeration DateJanuary 9, 2019
✔ NPI 1497228712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in WI · 7384
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
6308 8TH AVE # 3030, Kenosha, WI 53143
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shannon Godbolt's NPI number?

The NPI number for Shannon Godbolt is 1497228712. It was assigned to this individual provider in the NPPES registry on January 9, 2019.

Where is Shannon Godbolt located?

Shannon Godbolt practices at 6308 8th Ave # 3030, Kenosha, WI 53143. The listed phone number is (262) 656-3600.

What is Shannon Godbolt's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Shannon Godbolt was last updated on January 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.