Active NPI
Lisa Sheldon, PHARM.D.
- Pharmacist
- Minnetonka, MN
National Provider Identifier
1457642993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 120406
- Practice address
- 15111 Twelve Oaks Center Dr
Park Nicollet Clinic Carlson Parkway Internal Medicine
Minnetonka, MN 55305-5201 - Phone
- (952) 993-4500
- NPI assigned
- May 2, 2011
- Last updated
- Apr 25, 2013
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 120406 | MN | Primary |
Addresses
Primary practice location
15111 Twelve Oaks Center Dr
Park Nicollet Clinic Carlson Parkway Internal Medicine
Minnetonka, MN 55305-5201
Mailing address
15111 Twelve Oaks Center Dr
Park Nicollet Clinic Carlson Parkway Internal Medicine
Minnetonka, MN 55305-5201
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 120406 | MN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366848000000",
"number": "1457642993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15111 TWELVE OAKS CENTER DR",
"address_2": "PARK NICOLLET CLINIC CARLSON PARKWAY INTERNAL MEDICINE",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "553055201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15111 TWELVE OAKS CENTER DR",
"address_2": "PARK NICOLLET CLINIC CARLSON PARKWAY INTERNAL MEDICINE",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "553055201",
"telephone_number": "952-993-4500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHELDON",
"first_name": "LISA",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-05-02",
"last_updated": "2013-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "120406",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minnetonka, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.