Active NPI
Shannon Goodall, M.D.
- Student in an Organized Health Care Education/Training Program
- Santa Barbara, CA
National Provider Identifier
1912570946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 400 W. Pueblo Street
Santa Barbara Cottage Hospital
Santa Barbara, CA 93105 - Phone
- (805) 569-7315
- Fax
- (805) 569-8358
- NPI assigned
- Jul 19, 2021
- Last updated
- Jul 19, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | Primary |
Addresses
Primary practice location
400 W. Pueblo Street
Santa Barbara Cottage Hospital
Santa Barbara, CA 93105
Mailing address
400 W. Pueblo Street
Santa Barbara Cottage Hospital
Santa Barbara, CA 93105
Phone (805) 569-7315
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626652800000",
"number": "1912570946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 W. PUEBLO STREET",
"address_2": "SANTA BARBARA COTTAGE HOSPITAL",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "93105",
"telephone_number": "805-569-7315",
"fax_number": "805-569-8358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 W. PUEBLO STREET",
"address_2": "SANTA BARBARA COTTAGE HOSPITAL",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "93105",
"telephone_number": "805-569-7315",
"fax_number": "805-569-8358"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODALL",
"first_name": "SHANNON",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-19",
"last_updated": "2021-07-19",
"certification_date": "2021-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Barbara, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.