Active NPI
Sheena Lynn Yetter
- Chiropractor
- Minneapolis, MN
National Provider Identifier
1972108017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 6752
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 6752 | MN | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifelong Health Chiropractic Studio PLLC | Chiropractor | Current | Accepting new patients |
| Beyond Family Chiropractic PLLC | Chiropractor | Current | 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.
-
- Chiropractor
- Minneapolis, MN
- NPI 1992479786
-
- Chiropractor
- Bloomington, MN
- NPI 1821641556
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.