Doctor profile · Federal record
Dr. Shannon Godbolt, APNP
Nurse Practitioner · Kenosha, WI
- NPI 1497228712
- 7 yrs on file
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
6308 8Th Ave # 3030
Kenosha, WI 531435031
(262) 656-3600
fax (262) 656-3615
Credentials & registration
- NPI registered
- January 2019 — 7 yrs on file
- Specialty taxonomy
- 363L00000X — NUCC code
- State license (1)
- Wisconsin #7384
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1497228712. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$15
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Medline Industries Lp | 1 | $15.10 |
By nature of payment
Frequently asked questions
What is Dr. Shannon Godbolt's medical specialty?
Dr. Shannon Godbolt practices Nurse Practitioner in Kenosha, WI.
Where does Dr. Shannon Godbolt practice?
Dr. Shannon Godbolt practices at 6308 8Th Ave # 3030, Kenosha, WI 531435031. Office phone: 2626563600.
What is Dr. Shannon Godbolt's NPI?
Dr. Shannon Godbolt's National Provider Identifier (NPI) is 1497228712, issued by NPPES.