Kerry L Sheehy, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

34680 Issued in MN

Practice address

1875 Woodwinds Dr
Woodbury, MN 55125-2298

Phone

(651) 232-6700

Fax

(651) 232-6711

NPI assigned

Jul 21, 2005

Last updated

Oct 20, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Healtheast Medical Research Institute

  dba HealthEast Vadnais Heights Clinic

  • Clinic/Center
  • Vadnais Heights, MN
  • NPI 1639125503
  Medicare reassignment NPD
• Healtheast Medical Research Institute

  dba HealthEast Professional Services

  • Internal Medicine Physician
  • Saint Paul, MN
  • NPI 1508191552
  NPD
• Healtheast Medical Research Institute

  dba HealthEast Maplewood Clinic

  • Clinic/Center
  • Maplewood, MN
  • NPI 1689616716
  NPD
• Healtheast Medical Research Institute

  dba HealthEast Grand Avenue Clinic

  • Clinic/Center
  • Saint Paul, MN
  • NPI 1730128398
  NPD
• Carlson Chiropractic Health and Healing Inc.

  • Chiropractor
  • Maple Plain, MN
  • NPI 1083747711
  NPD (past)
• Ridgeview Clinics

  dba Ridgeview Specialty Clinic

  • Gastroenterology Physician
  • Waconia, MN
  • NPI 1710147392
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319068800000",
    "number": "1386644250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1875 WOODWINDS DR",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551252298",
            "telephone_number": "651-232-6700",
            "fax_number": "651-232-6711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1875 WOODWINDS DR",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551252298",
            "telephone_number": "651-232-6700",
            "fax_number": "651-232-6711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEEHY",
        "first_name": "KERRY",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-21",
        "last_updated": "2011-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "34680",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "34680",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maryam Beltran Shapland, MD
• Colton Michael Sharp, PHARMD
• Sarah Jean Sharp, MSW, LGSW
• Christopher John Shearen, D.D.S.
• Andrew J Sheehan, DO
• Kathleen Sheets, AU. D.
• Noor Mohamed Sheikhaden, RN
• Abigail J Sheldahl
• Weili Shen
• Shepherd's Home LLC (Shepherd's Way Home)

• Family Medicine Physician in Woodbury, MN
• Providers in Woodbury, MN by specialty
• Family Medicine Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.