Active NPI
Lynette R Swedberg, RN, MS, CNS
- Psychiatric/Mental Health Clinical Nurse Specialist
- Sycamore, IL
National Provider Identifier
1245384239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Clinical Nurse Specialist
- License
- 209.004182
- Practice address
- 760 Foxpointe Dr
Sycamore, IL 60178-3221 - Phone
- (815) 748-8334
- NPI assigned
- Jan 23, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0808X | 209.004182 | IL | Primary |
Addresses
Primary practice location
760 Foxpointe Dr
Sycamore, IL 60178-3221
Mailing address
760 Foxpointe Dr
Sycamore, IL 60178-3221
Phone (815) 748-8334
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 209004182 | Medicaid | IL | |
| 104030 | Other | IL | HEALTH ALLIANCE |
Other names 1
- Lynette R Larson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Specialist, Master of Science, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209.004182 | IL | MD | Psychiatric/Mental Health Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kishwaukee Community Hospital | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Dekalb, IL
- NPI 1669534517
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460678400000",
"number": "1245384239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "760 FOXPOINTE DR",
"city": "SYCAMORE",
"state": "IL",
"postal_code": "601783221",
"telephone_number": "815-748-8334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "760 FOXPOINTE DR",
"city": "SYCAMORE",
"state": "IL",
"postal_code": "601783221",
"telephone_number": "815-748-8334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWEDBERG",
"first_name": "LYNETTE",
"middle_name": "R",
"credential": "RN, MS, CNS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-23",
"last_updated": "2016-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "364SP0808X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
"state": "IL",
"license": "209.004182",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "209004182",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH ALLIANCE",
"identifier": "104030",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LYNETTE",
"last_name": "LARSON",
"middle_name": "R",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Sycamore, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.