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 IDStateProvider typePAC IDDetails
I20250626002236 MN Practitioner - Qualified Speech Language Pathologist 7012429764 Practice locations: Mora, MN

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
NONEOtherNONE

Other names

  • Cynndra Conniff Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 7, 2025.

{
    "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

All providers in Mora, MN · Speech-Language Pathologist in Minnesota

Sources for this page

Verify at the official NPI Registry.