Active NPI
Leann M Shea, D.C.
- Chiropractor
- Mankato, MN
National Provider Identifier
1043216492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2072
- Practice address
- 217 1/2 E Walnut St
Mankato, MN 56001-3606 - Phone
- (507) 625-4822
- NPI assigned
- Jun 21, 2005
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2072 | MN | Primary |
Addresses
Primary practice location
217 1/2 E Walnut St
Mankato, MN 56001-3606
Mailing address
217 1/2 E Walnut St
Mankato, MN 56001-3606
Phone (507) 625-4822
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 066527400 | Medicaid | MN | |
| 350049793 | Other | MN | RAILROAD MEDICARE ID NUMB |
| 3M150SH | Other | MN | BCBSM INDIVIDUAL ID NUMBE |
| 39673SH | Other | MN | BCBSM PRACTICE ID NUMBER |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2072 | MN | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Leann M Shea | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Mankato, MN
- NPI 1730207226
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1226361600000",
"number": "1043216492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "217 1/2 E WALNUT ST",
"city": "MANKATO",
"state": "MN",
"postal_code": "560013606",
"telephone_number": "507-625-4822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "217 1/2 E WALNUT ST",
"city": "MANKATO",
"state": "MN",
"postal_code": "560013606",
"telephone_number": "507-625-4822"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEA",
"first_name": "LEANN",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-06-21",
"last_updated": "2008-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "2072",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "066527400",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE ID NUMB",
"identifier": "350049793",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM INDIVIDUAL ID NUMBE",
"identifier": "3M150SH",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM PRACTICE ID NUMBER",
"identifier": "39673SH",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mankato, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.