SHONALIE LEVILLE (NPI# 1659417210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659417210 |
| Entity Type | Individual |
| Full Name | SHONALIE LEVILLE |
| Credential | MD |
| Practice Address |
501 E Nicollet Blvd Ste 200 Burnsville MN 55337-6732 |
| Mailing Address |
3955 Parklawn Ave Ste 120 Edina MN 55435-5655 |
| Practice Telephone | 9528985900 |
| Practice Fax Number | 9522786947 |
| Mailing Telephone | 9528311944 |
| Mailing Fax Number | 9522786947 |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 49177 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | PREFERRED ONE | FP9021048582 | 01 |
| MN | MEDICA | 1213786 | 01 |
| Street Address |
501 E NICOLLET BLVD STE 200 |
| City | BURNSVILLE |
| State | MN |
| Zip Code | 55337-6732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639131279 | Samuel Fedo | Rehabilitation Practitioner | 501 E Nicollet Blvd, Suite 100, Burnsville, MN 55337-6732 | 2006-04-06 |
| 1174945513 | Patricia Daly Borg | Registered Nurse | 501 E Nicollet Blvd, Ste. 120, Burnsville, MN 55337-6732 | 2014-01-18 |
| 1508050543 | Fairview Clinics | Clinic/Center | 501 E Nicollet Blvd, Ste 120, Burnsville, MN 55337-6732 | 2007-09-04 |
| 1891902193 | Eric Raymond Marvin | Orthotist | 501 E Nicollet Blvd, Ll50, Burnsville, MN 55337-6732 | 2007-05-17 |
| 1689772709 | Saira Mitha | Pediatrics | 501 E Nicollet Blvd, Ste 200, Burnsville, MN 55337-6732 | 2006-09-20 |
| 1649378746 | Barbara J Hansen | Pediatrics | 501 E Nicollet Blvd, Ste 200, Burnsville, MN 55337-6732 | 2006-09-20 |
| 1639277742 | Debra L Magnuson | Pediatrics | 501 E Nicollet Blvd, Ste 200, Burnsville, MN 55337-6732 | 2006-09-20 |
| 1356449474 | Amy L Manolis | Pediatrics | 501 E Nicollet Blvd, Ste 200, Burnsville, MN 55337-6732 | 2006-09-20 |
| 1285742916 | Jeffrey Ryan Mathews | Physical Therapist | 501 E Nicollet Blvd, #100, Burnsville, MN 55337-6732 | 2006-08-25 |
| 1144335605 | Lisa Wilkinson Oie | Pediatrics | 501 E Nicollet Blvd, Ste 200, Burnsville, MN 55337-6732 | 2006-08-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053939397 | Alpha Quality Care1 L. L. C. | Home Infusion | 12924 18th Ave South, Burnsville, MN 55337 | 2020-07-13 |
| 1568085900 | Kathryn Harris | Counselor | 11939 W. River Hills Dr., Burnsville, MN 55337 | 2020-05-20 |
| 1952941254 | Noah Home Care Inc. | Home Health | 13521 Nicollet Lane, Burnsville, MN 55337 | 2020-01-14 |
| 1750854287 | Baraka Home Care LLC | Nursing Care | 1700 James Place, Burnsville, MN 55337 | 2019-01-08 |
| 1699298778 | Raphael Cheron-dittmann | Hearing Instrument Specialist | 14000 Nicollet Ave. S., Suite 303, Burnsville, MN 55337 | 2017-07-20 |
| 1669909818 | Mercy Home Care Ltd | Hospice Care, Community Based | 1020 E 146th St Ste 220d, Burnsville, MN 55337 | 2017-05-18 |
| 1457893984 | Daniel Ryan Nguyen | Physician Assistant | 14551 Co Rd #11 #100, Burnsville, MN 55337 | 2016-11-15 |
| 1730542572 | Iris Reproductive Psychiatric Clinic | Clinical Nurse Specialist | 1500 Mcandrews Road W, Ste 227, Burnsville, MN 55337 | 2016-03-30 |
| 1740657204 | Mercy Link, LLC | Home Health | 13005 Salem Pl, Burnsville, MN 55337 | 2015-08-31 |
| 1669852158 | Mixa Dipak Patel | Physical Therapy Assistant | 8380 Hiawatha Ave, Eden Prairie, MN 55337 | 2015-06-01 |
| Find all providers in zip 55337 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326272568 | Katharine D Tumilty | Pediatrics | 14050 Nicollet Ave Ste 300, Burnsville, MN 55337 | 2009-05-02 |
| 1003808403 | Lucia Criveanu | Pediatrics | 800 Medical Campus Dr, Burnsville, NC 28714-9010 | 2005-08-22 |
| 1578917100 | Sahar Ahmed | Pediatrics | 303 E Nicollet Blvd, Burnsville, MN 55337-4522 | 2016-04-20 |
| 1225492739 | Brielle Joy Haggerty | Pediatrics | 14000 Fairview Dr, Burnsville, MN 55337 | 2016-04-11 |
| 1881031706 | Jenna Leigh Tate | Pediatrics | 14050 Nicollet Ave, Suite 300, Burnsville, MN 55337-5710 | 2013-06-01 |
| 1629395421 | Natalie Elizabeth Rigelman-hedberg | Pediatrics | 14050 Nicollet Ave Ste 300, Burnsville, MN 55337-5739 | 2010-05-03 |
| 1376779207 | Stephen Jost | Pediatrics | 14000 Fairview Dr, Park Nicollet Pediatric Clinic, Burnsville, MN 55337-5713 | 2009-06-05 |
| 1245407097 | Gillian Hackedorn Luscri | Pediatrics | 14000 Fairview Dr, Burnsville, MN 55337-5713 | 2008-05-12 |
| 1417122862 | Audrey Wells Gurule | Pediatrics | 14101 Fairview Dr Ste 300, Burnsville, MN 55337-2537 | 2008-04-28 |
| 1689772709 | Saira Mitha | Pediatrics | 501 E Nicollet Blvd, Ste 200, Burnsville, MN 55337-6732 | 2006-09-20 |
| Find all providers in BURNSVILLE | ||||
| City | BURNSVILLE |
| Zip Code | 55337 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.