Leann M Shea

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2072 Issued in MN

Legal business name

LEANN M SHEA

Doing business as

Key City Chiropractic

Practice address

217 1/2 E Walnut St
Mankato, MN 56001-3606

Phone

(507) 625-4822

NPI assigned

Mar 26, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Leann M Shea, D.C.NPI 1043216492

Title

Chiropractor

Phone

(507) 625-4822

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• KEY CITY CHIROPRACTIC Doing business as

Locations

Practitioners 1

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

• Leann M Shea, D.C.

  • Chiropractor
  • Mankato, MN
  • NPI 1043216492
  NPD (past) Authorized official

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226361600000",
    "number": "1730207226",
    "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": {
        "organization_name": "LEANN M SHEA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2008-11-11",
        "status": "A",
        "authorized_official_last_name": "SHEA",
        "authorized_official_first_name": "LEANN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "507-625-4822",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "2072",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM INDIVIDUAL #",
            "identifier": "3M150SH",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "066527400",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM CLINIC #",
            "identifier": "39673SH",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "350049793",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KEY CITY CHIROPRACTIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Derrick Ledvina, PHARM.D.
• Stephanie Renae Ledvina, CNP
• Joe Y Lee, MD

• Chiropractor in Mankato, MN
• Providers in Mankato, MN by specialty
• Chiropractor in Minnesota

• 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.

Verify at the official NPI Registry.