Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Carol L Shackleton, MD

Individual provider Family Medicine Physician · NPI 1629004759

Dr. Carol L Shackleton, MD is a Family Medicine Physician in Gothenburg, Nebraska. Practices as a sole proprietor. Licensed in Nebraska.

Licensed in
NE
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

918 20th St
Gothenburg, NE 69138-1237
Phone: (308) 537-7131
Fax: (308) 537-7310
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 16620 (NE)

Record details

NPI number1629004759
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 23, 2006
Last updated in NPPESFebruary 9, 2012

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