DR. SHANNON KATHLEEN GODSIL (NPI# 1518306414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518306414 |
| Entity Type | Individual |
| Full Name | DR. SHANNON KATHLEEN GODSIL |
| Other Name | MISS SHANNON KATHLEEN HARDY |
| Credential | M.D. |
| Practice Address |
9801 Giles Rd Ste 1 La Vista NE 68128-2925 |
| Mailing Address |
1343 S 51st Ave Omaha NE 68106-2425 |
| Practice Telephone | 4029558400 |
| Mailing Telephone | (708) 846-7684 |
| Enumeration Date | 2013-06-24 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 29266 | NE | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | TEP#6973 | NE | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 8200 Dodge St, Omaha, NE 681144113 | 4029555400 |
| Street Address |
9801 GILES RD STE 1 |
| City | LA VISTA |
| State | NE |
| Zip Code | 68128-2925 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922589746 | Ruth Ann Moses | Prevention Professional | 7030 S 110th St, Omaha, NE 68128 | 2018-08-29 |
| 1972945897 | Jenna Leigh Graeve | Physical Therapist | 7040 S 114th St Plz Apt 203, La Vista, NE 68128 | 2013-07-19 |
| 1245564012 | Optum Infusion Services 302, LLC | Pharmacy | 8720 South 114th Street, Suite 106, La Vista, NE 68128 | 2009-09-28 |
| 1730385709 | Granville Assisted Living, LLC | Point of Service | 5807 Granville Parkway, La Vista, NE 68128 | 2007-06-26 |
| 1629160072 | Rachel L. Mccann | Pediatrics | 9801 Giles Road, Suite 1, La Vista, NE 68128 | 2006-09-29 |
| 1730118233 | Donald R Krysl | Optometrist | 8102 S 84th St, Lavista, NE 68128 | 2006-06-30 |
| 1073030607 | September Leigh Wanzenried | Family Medicine | 6901 S 84th St, La Vista, NE 68128 | 2017-08-24 |
| 1518312719 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 12515 Portside Pkwy, La Vista, NE 68128 | 2016-04-26 |
| 1245685445 | Costco Wholesale Corporation | Hearing Aid Equipment | 12515 Portside Pkwy, La Vista, NE 68128 | 2016-04-26 |
| 1386011971 | Kelsey Klatt | Occupational Therapist | 6960 S 110th St, La Vista, NE 68128 | 2015-08-31 |
| Find all providers in zip 68128 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629160072 | Rachel L. Mccann | Pediatrics | 9801 Giles Road, Suite 1, La Vista, NE 68128 | 2006-09-29 |
| 1154430171 | Francis J. Harrison | Pediatrics | 9801 Giles Rd, Suite 1, La Vista, NE 68128-2924 | 2006-08-30 |
| 1720508419 | Michelle Lynn Wineinger | Pediatrics | 9801 Giles Rd, La Vista, NE 68128-2924 | 2017-06-22 |
| 1750661708 | Children's Hospital & Medical Center | Pediatrics | 9801 Giles Rd, Children's Hosp & Med Ctr - Urgent Care - Val Verde, La Vista, NE 68128-2924 | 2011-08-23 |
| 1053606871 | Kristin Marie Mcgregor | Pediatrics | 8248 S 96th St, La Vista, NE 68128-3126 | 2011-06-09 |
| 1871804401 | Brandi Ann Reeve-iverson | Pediatrics | 8248 S 96th St, La Vista, NE 68128-3126 | 2010-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508467580 | Stephen Lazoritz | Pediatrics | 4245 S 121st Plz, Omaha, NE 68137-2132 | 2020-11-05 |
| 1760976385 | Eric Spencer West | Pediatrics | 982185 Nebraska Medical Center Omaha, Omaha, NE 68198-2185 | 2018-06-18 |
| 1669962130 | Rachel Kathryn Schlueter | Pediatrics | 982185 Nebraska Medical Cente, Omaha, NE 68198-2185 | 2018-05-10 |
| 1942715073 | Anne Marie Bigbee | Pediatrics | 7001 A St Ste 110, Lincoln, NE 68510-4299 | 2017-12-12 |
| 1861915886 | Capital City Pediatrics, LLC | Pediatrics | 7441 O St Ste 303, Lincoln, NE 68510-2466 | 2017-07-21 |
| 1942721956 | Children First Pediatrics, P.C. | Pediatrics | 4230 Pioneer Woods Dr Ste B, Lincoln, NE 68506-7565 | 2017-06-29 |
| 1841737418 | Kearney Clinic PC | Pediatrics | 211 W 33 St, Kearney, NE 68845-3456 | 2017-01-20 |
| 1457898116 | Medpeds PC | Pediatrics | 4209 N 195th St, Elkhorn, NE 68022-5174 | 2017-01-19 |
| 1063862779 | Evin Lackore | Pediatrics | Unmc Pediatrics Residency Program, 982185 Nebraska Medical Center, Omaha, NE 68198 | 2016-06-14 |
| 1881049708 | Dundee Pediatrics, LLC | Pediatrics | 5018 Underwood Ave, Suite 200, Omaha, NE 68132-2236 | 2016-04-28 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.