Individual provider Active NPI

Sheena Lynn Yetter

  • Chiropractor
  • Minneapolis, MN
National Provider Identifier
1972108017
Registry record updated Dec 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6752 Issued in MN
Practice address
3701 W Old Shakopee Rd Ste 550
Minneapolis, MN 55431-3558
Phone
(612) 293-8522
NPI assigned
Dec 4, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6752 MN Primary

Addresses

Primary practice location

3701 W Old Shakopee Rd Ste 550
Minneapolis, MN 55431-3558

Mailing address

1614 Kilmer Ave
Minneapolis, MN 55426-1837
Phone (612) 396-4916

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

LicenseStateTypeSpecialty
6752MNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Lifelong Health Chiropractic Studio PLLC Chiropractor Current Accepting new patients
Beyond Family Chiropractic PLLC Chiropractor CurrentSince Dec 6, 2020 Accepting new patients

Locations

3701 W Old Shakopee Rd
Ste 550
Minneapolis, MN 55431
Phone (612) 293-8522

Organizations & group practices 2

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": "1607040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607040000000",
    "number": "1972108017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1614 KILMER AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554261837",
            "telephone_number": "612-396-4916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 W OLD SHAKOPEE RD STE 550",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554313558",
            "telephone_number": "612-293-8522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YETTER",
        "first_name": "SHEENA",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-04",
        "last_updated": "2020-12-04",
        "certification_date": "2020-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2020; 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.