Jeremey Wayne Swanson, LADC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

302519 Issued in MN

Practice address

7700 Hudson Rd
Suite 600
Woodbury, MN 55125-1490

Phone

(651) 731-0037

Fax

(651) 731-6986

NPI assigned

Aug 10, 2011

Sex

Male

Sole proprietor

Yes

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1312934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312934400000",
    "number": "1174802979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 WINDSOR WOOD PATH",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540167772",
            "telephone_number": "651-755-8406",
            "fax_number": "651-731-6986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 HUDSON RD",
            "address_2": "SUITE 600",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551251490",
            "telephone_number": "651-731-0037",
            "fax_number": "651-731-6986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWANSON",
        "first_name": "JEREMEY",
        "middle_name": "WAYNE",
        "name_prefix": "Mr.",
        "credential": "LADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-10",
        "last_updated": "2011-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MN",
            "license": "302519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bridgette Marie Suri, MD
• Rachel Surratt, BS
• Mallory Sutton, MSN, FNP-BC
• Jennifer Marie Svendsen, M.D.
• Briana Angelique Swails
• Kristina Swanson, RDN, LDN
• Roxanne Carol Swanson, LGSW, MSW
• Mary Veronica Sweeney, MFA, EDM, MA
• Sara K Sweetser, MD
• Jenna Marie Swenson, DPT

• Counselor in Woodbury, MN
• Providers in Woodbury, MN by specialty
• Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2011; 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.