Active NPI
Diana Lynn Shanley
- Diagnostic Radiology Physician
- Saint Paul, MN
National Provider Identifier
1417814112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 587233
- Practice address
- 615 Snelling Ave N
Saint Paul, MN 55104-1806 - Phone
- (651) 214-8850
- Fax
- (651) 214-8850
- NPI assigned
- Jan 6, 2026
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 587233 | MN | Primary |
Addresses
Primary practice location
615 Snelling Ave N
Saint Paul, MN 55104-1806
Mailing address
615 Snelling Ave N
Saint Paul, MN 55104-1806
Phone (651) 214-8850
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 587233 | MN | MD | Diagnostic Radiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1767657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767657600000",
"number": "1417814112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 SNELLING AVE N",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551041806",
"telephone_number": "651-214-8850",
"fax_number": "651-214-8850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 SNELLING AVE N",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551041806",
"telephone_number": "651-214-8850",
"fax_number": "651-214-8850"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHANLEY",
"first_name": "DIANA",
"middle_name": "LYNN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-01-06",
"last_updated": "2026-01-06",
"certification_date": "2026-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MN",
"license": "587233",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.