IndividualActive
Shannon Goode, MD
NPI 1508245689 · Sports Medicine (Internal Medicine) Physician · Jefferson, LA
Provider details
- NPI number
- 1508245689
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 323811 (LA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
1221 S Clearview Pkwy
Jefferson, LA 70121-1011
Phone: (504) 842-6089
Approximate (ZIP-level) locationGet directions
Mailing address
1514 Jefferson Hwy
New Orleans, LA 70121-2429
Registry dates
- Enumerated
- 2015-05-22
- Last updated
- 2024-10-08
- Certified
- 2021-12-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.