SHANNON GODWIN FNP-C
NPI 1679060784
Nurse Practitioner in Wilmington, NC

Active since April 16, 2018
1705 GARDNER ROAD, WILMINGTON, NC 28405(910) 343-5300(910) 482-5080 Get Directions Write a Review

NPPES record last updated: June 30, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 20, 2020, Mar 2, 2020, Feb 17, 2020 and 31 more (34 updates tracked since 2018).

About Shannon Godwin Fnp-c NPPES

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

SHANNON GODWIN FNP-C (NPI 1679060784) is an individual nurse practitioner in Wilmington, North Carolina, licensed in North Carolina (5010460) and active in the NPI registry since April 2018.

NPPES Registry Identity

NPI1679060784
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameSHANNON GODWINCredential: FNP-C
Location Address1705 GARDNER ROADWilmington, NC 28405
Mailing Address1705 Gardner RoadWilmington, NC 28405 · (910) 343-5300 · Fax (910) 482-5080
Fax(910) 482-5080
Sole ProprietorNo
Enumeration DateApril 16, 2018
Last NPPES UpdateJune 30, 202334 updates tracked since enumeration
NPPES CertifiedJune 30, 2023
NPI 1679060784 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 NC · 5010460
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.
1705 GARDNER ROAD, Wilmington, NC 28405

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (VA)
1705 GARDNER ROAD
WILMINGTON, NC 28405
Dermatology
1705 GARDNER ROAD
WILMINGTON, NC 28405
Clinic/Center (VA)
1705 GARDNER ROAD, VA PHARMACY
WILMINGTON, NC 28405
Social Worker (Clinical)
1705 GARDNER ROAD
WILMINGTON, NC 28405
Pharmacist
1705 GARDNER ROAD, VETERANS AFFAIRS HEALTH CARE CENTER
WILMINGTON, NC 28405
Department of Veterans Affairs (VA) Pharmacy
1705 GARDNER ROAD
WILMINGTON, NC 28405

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 Godwin's NPI number?

The NPI number for Shannon Godwin is 1679060784. It was assigned to this individual provider in the NPPES registry on April 16, 2018.

Where is Shannon Godwin located?

Shannon Godwin practices at 1705 Gardner Road, Wilmington, NC 28405. The listed phone number is (910) 343-5300.

What is Shannon Godwin'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 Godwin was last updated on June 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.