Cynndra Joy Swee, CSCD, CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Mora, MN
NPI 1134601396 · NPPES record last updated Apr 7, 2025
Key facts
- NPI
- 1134601396
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 9822 (MN)
- Practice address
- 1569 Devils Lake Dr
Mora, MN 55051-7315 - Phone
- (507) 517-4774
- NPI assigned
- Sep 5, 2018
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250626002236 | MN | Practitioner - Qualified Speech Language Pathologist | 7012429764 | Practice locations: Mora, MN |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 9822 | MN | Yes |
Addresses
Primary practice location
1569 Devils Lake Dr
Mora, MN 55051-7315
Mailing address
1569 Devils Lake Dr
Mora, MN 55051-7315
Phone (507) 517-4774
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NONE | Other | NONE |
Other names
- Cynndra Conniff
NPI Registry JSON
{
"created_epoch": "1536105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743984000000",
"number": "1134601396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1569 DEVILS LAKE DR",
"city": "MORA",
"state": "MN",
"postal_code": "550517315",
"telephone_number": "507-517-4774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1569 DEVILS LAKE DR",
"city": "MORA",
"state": "MN",
"postal_code": "550517315",
"telephone_number": "507-517-4774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWEE",
"first_name": "CYNNDRA",
"middle_name": "JOY",
"name_prefix": "Dr.",
"credential": "CSCD, CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-09-05",
"last_updated": "2025-04-07",
"certification_date": "2025-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MN",
"license": "9822",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NONE",
"identifier": "NONE",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CYNNDRA",
"last_name": "CONNIFF",
"credential": "CSCD, CCC-SLP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Mora, MN
- Ashley Snyder
- Mariette Sourial
- Stegeman Construction LLC
- Lisa Stobierski
- Jessica Stokes
- Ralph Dale Swenson
- Brent Jason Thompson
- Cari Thomsen
- Sophia Titus
- Ashley Todd
All providers in Mora, MN · Speech-Language Pathologist in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 7, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.