Individual provider Active NPI

Lashanna Shanice Lovell, M.D.

  • Pediatrics Physician
  • Gary, IN
National Provider Identifier
1821417023
Registry record updated Mar 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
01078494A Issued in IN
Practice address
1015 N Shelby St
Gary, IN 46403-1446
Phone
(219) 938-0921
NPI assigned
Apr 15, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 01078494A IN Primary

Addresses

Primary practice location

1015 N Shelby St
Gary, IN 46403-1446

Mailing address

1015 N Shelby St
Gary, IN 46403-1446
Phone (219) 938-0921

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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

Enrollment IDStateProvider typePAC IDDetails
I20171206003489 IN Practitioner - Pediatric Medicine 6305148180 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Community Healthnet Inc CurrentSince Oct 3, 2022 Accepting new patients
Northshore Health Centers, Inc. Pediatrics CurrentSince Jan 8, 2017 Accepting new patients
Community Healthnet Inc CurrentSince Oct 3, 2022 Accepting new patients
Northshore Health Centers Inc Current Accepting new patients
Northshore Health Centers, Inc. CurrentSince Jan 8, 2017 Accepting new patients
Community Healthnet Inc Past Accepting new patients
Community Healthnet Inc Past Accepting new patients
Community Healthnet Inc Past Accepting new patients
Community Healthnet Inc Past Accepting new patients

Locations

1015 N Shelby St
Gary, IN 46403
Phone (219) 938-0920

3503 Martin Luther King Dr
Gary, IN 46409
Phone (219) 293-8843

1021 W 5th Ave
Gary, IN 46402

3900 Calhoun St
Gary, IN 46408
Phone (219) 293-8843

5927 Columbia Ave
Hammond, IN 46320
Phone (219) 321-9385

6915 Grand Ave
Hammond, IN 46323
Phone (219) 989-7316

2490 Central Ave
Lake Station, IN 46405

6100 Broadway
Merrillville, IN 46410
Phone 21988011908843

6050 Sterling Creek Rd
Portage, IN 46368
Phone (219) 212-0188

Interoperability endpoints

  • Direct secure messaging: lashanna.lovell.p1@direct.northshorehealth.nextgenshare.com

Organizations & group practices 9

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

NPI Registry JSON

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

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678924800000",
    "number": "1821417023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 N SHELBY ST",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464031446",
            "telephone_number": "219-938-0921",
            "fax_number": "219-938-0923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 N SHELBY ST",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464031446",
            "telephone_number": "219-938-0921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVELL",
        "first_name": "LASHANNA",
        "middle_name": "SHANICE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-15",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IN",
            "license": "01078494A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gary, IN

Sources for this page

Verify at the official NPI Registry.