Katie Rae Swanson, CF-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

518225 Issued in MN

Practice address

900 W 94TH St
Bloomington, MN 55420-4206

Phone

(952) 885-0418

Fax

(952) 885-0173

NPI assigned

Aug 26, 2021

Last updated

Aug 26, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• The Therapy Place

  • Rehabilitation Clinic/Center
  • Bloomington, MN
  • NPI 1609934173
  NPD (past)

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

{
    "created_epoch": "1629936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629936000000",
    "number": "1093482150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 WOODDALE DR STE A",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551252933",
            "telephone_number": "651-738-9888",
            "fax_number": "651-738-9889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 W 94TH ST",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554204206",
            "telephone_number": "952-885-0418",
            "fax_number": "952-885-0173"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2101 Wooddale Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Woodbury",
            "state": "MN",
            "postal_code": "551252933",
            "country_code": "US",
            "telephone_number": "651-738-9888",
            "fax_number": "651-738-9889",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SWANSON",
        "first_name": "KATIE",
        "middle_name": "RAE",
        "credential": "CF-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-26",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "518225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Swan
• Rebecca R. Swan, PH.D.
• Farren Grace Swanson, LMFT
• Hollie Michele Swanson, CNP
• Jenna Beth Swanson
• Keith S Swanson, DDS
• Amy S. Swartz, CRNA, FNP
• Christopher Nelson Sweat, M.D.
• Ava Sweeney
• Sweere Clinic LLC

• Speech-Language Pathologist in Bloomington, MN
• Providers in Bloomington, MN by specialty
• Speech-Language Pathologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2021; 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.