Individual provider Active NPI

Eden Schwahn

  • Speech-Language Pathologist
  • Waconia, MN
National Provider Identifier
1073147641
Registry record updated Feb 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
10425 Issued in MN
Practice address
9346 Oak Ave
Waconia, MN 55387-9422
Phone
(952) 223-2506
NPI assigned
Feb 23, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 10425 MN Primary

Addresses

Primary practice location

9346 Oak Ave
Waconia, MN 55387-9422

Mailing address

8400 Bass Lake Rd Apt 436
New Hope, MN 55428-5350
Phone (402) 206-1594

Other practice location 1

15265 Minnetonka Blvd
Minnetonka, MN 55345-1510
Phone (952) 223-2506

Other practice location 2

10700 Hwy 55 Ste 300
Plymouth, MN 55441-6137
Phone (763) 519-1197

Other practice location 3

5232 Kyler Ave NE
Albertville, MN 55301-4634
Phone (952) 223-2506

Other practice location 4

2520 Pilot Knob Rd Ste 190
Mendota Heights, MN 55120-1152
Phone (952) 223-2506

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address schwahne@district279.org

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201111001759 MN Practitioner - Qualified Speech Language Pathologist 4183034606 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10425MNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sunnydays Therapy Inc Speech-Language Pathologist CurrentSince Nov 25, 2022 Accepting new patients
The Lazarus Project PastSince Dec 17, 2023 Accepting new patients

Locations

5232 Kyler Ave NE
Albertville, MN 55301

15265 Minnetonka Blvd
Minnetonka, MN 55345

10700 Highway 55
Ste 300
Plymouth, MN 55441
Phone (763) 519-1197

2520 Pilot Knob Rd
Ste 190
Saint Paul, MN 55120
Phone (651) 452-1500

9346 Oak Ave
Waconia, MN 55387
Phone (952) 442-5812

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": "1582416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582416000000",
    "number": "1073147641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8400 BASS LAKE RD APT 436",
            "city": "NEW HOPE",
            "state": "MN",
            "postal_code": "554285350",
            "telephone_number": "402-206-1594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9346 OAK AVE",
            "city": "WACONIA",
            "state": "MN",
            "postal_code": "553879422",
            "telephone_number": "952-223-2506"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15265 Minnetonka Blvd",
            "address_purpose": "LOCATION",
            "city": "Minnetonka",
            "state": "MN",
            "postal_code": "553451510",
            "country_code": "US",
            "telephone_number": "952-223-2506",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10700 Hwy 55 Ste 300",
            "address_purpose": "LOCATION",
            "city": "Plymouth",
            "state": "MN",
            "postal_code": "554416137",
            "country_code": "US",
            "telephone_number": "763-519-1197",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5232 Kyler Ave NE",
            "address_purpose": "LOCATION",
            "city": "Albertville",
            "state": "MN",
            "postal_code": "553014634",
            "country_code": "US",
            "telephone_number": "952-223-2506",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2520 Pilot Knob Rd Ste 190",
            "address_purpose": "LOCATION",
            "city": "Mendota Heights",
            "state": "MN",
            "postal_code": "551201152",
            "country_code": "US",
            "telephone_number": "952-223-2506",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHWAHN",
        "first_name": "EDEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-23",
        "last_updated": "2020-02-23",
        "certification_date": "2020-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "10425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "schwahne@district279.org",
            "affiliation": "N",
            "address_1": "15265 Minnetonka Blvd",
            "city": "Minnetonka",
            "state": "MN",
            "country_code": "US",
            "postal_code": "553451510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Waconia, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.