NPIMap

Organization Active NPI

Livea Medical PLLC

  • Obesity Medicine (Preventive Medicine) Physician
  • Coon Rapids, MN
National Provider Identifier
1679386346
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obesity Medicine (Preventive Medicine) PhysicianTaxonomy code 2083B0002X
Legal business name
LIVEA MEDICAL PLLC
Practice address
3495 Northdale Blvd NW Ste 100
Coon Rapids, MN 55448-6713
Phone
(763) 210-2608
NPI assigned
Jan 28, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2025

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

Authorized official

Name
Andrea Sowers, SPHR
Title
Chief Operating Officer
Phone
(952) 220-5578

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obesity Medicine (Preventive Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2083B0002X Primary

Addresses

Primary practice location

3495 Northdale Blvd NW Ste 100
Coon Rapids, MN 55448-6713

Mailing address

3495 Northdale Blvd NW Ste 100
Coon Rapids, MN 55448-6713
Phone (763) 323-4127

National Provider Directory

National Provider Directory

Locations

14800 Galaxie Ave
Ste 302
Apple Valley, MN 55124

3495 Northdale Blvd NW
Ste 100
Coon Rapids, MN 55448
Phone (763) 210-2608

3601 Minnesota Dr
Ste 140
Minneapolis, MN 55435

2048 Superior Dr NW
Ste 300
Rochester, MN 55901

1639 County Road C W
Roseville, MN 55113
Phone (651) 796-3818

216 Division St
Waite Park, MN 56387

1920 Donegal Dr
Ste 200
Woodbury, MN 55125
Phone (651) 409-9229

4112 Oakwood Hills Pkwy
Eau Claire, WI 54701

4112 Oakwood Hills Pkwy
Ste 100
Eau Claire, WI 54701

4112 Oakwood Hills Pkwy
#100
Eau Claire, WI 54701

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1738022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755648000000",
    "number": "1679386346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3495 NORTHDALE BLVD NW STE 100",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554486713",
            "telephone_number": "763-323-4127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3495 NORTHDALE BLVD NW STE 100",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554486713",
            "telephone_number": "763-210-2608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVEA MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-28",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A",
        "authorized_official_last_name": "SOWERS",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "952-220-5578",
        "authorized_official_credential": "SPHR"
    },
    "taxonomies": [
        {
            "code": "2083B0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Obesity Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coon Rapids, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.