Individual provider Active NPI

Tracie L Swearingen, RD

  • Registered Dietitian
  • Coon Rapids, MN
National Provider Identifier
1497701601
Registry record updated Jul 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
875741 Issued in MN
Practice address
3960 Coon Rapids Blvd NW
Suite 311
Coon Rapids, MN 55433-2569
Phone
(763) 712-2100
Fax
(763) 712-2190
NPI assigned
May 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 875741 MN Primary

Addresses

Primary practice location

3960 Coon Rapids Blvd NW
Suite 311
Coon Rapids, MN 55433-2569

Mailing address

11850 Blackfoot Street NW
Suite 100
Coon Rapids, MN 55433-2598
Phone (763) 712-2100

Other names 1

  • Tracie L Larson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060405000541 MN Practitioner - Registered Dietitian Or Nutrition Professional 4486662277 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
88.74 of 100Reported as group
Quality
72.38
Promoting interoperability
98
Improvement activities
40
Cost
77.7

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
875741MNMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Minnesota Oncology Hematology PA CurrentSince Feb 18, 2013 Accepting new patients
Minnesota Oncology Hematology, PA Dietitian, Registered CurrentSince Feb 18, 2013 Accepting new patients
Minnesota Oncology Hematology, PA Dietitian, Registered Current Accepting new patients
Minnesota Oncology Hematology, PA PastSince Jan 12, 2020 Accepting new patients
Minnesota Oncology Hematology, PA Dietitian, Registered Past Accepting new patients

Locations

1175 Paysphere Cir
Chicago, IL 60674

675 E Nicollet Blvd
Ste 100
Burnsville, MN 55337
Phone (952) 435-8516

110105 Pioneer Trl W
Chaska, MN 55318
Phone (952) 361-5800

3960 Coon Rapids Blvd NW
Ste 311
Coon Rapids, MN 55433
Phone (612) 230-0044

10150 Niagara Ln N
#100
Maple Grove, MN 55369
Phone (763) 220-1316

11850 Blackfoot St NW
Ste 100
Minneapolis, MN 55433
Phone (763) 712-2100

910 E 26th St
Ste 100200
Minneapolis, MN 55404
Phone (612) 884-6300

480 Osborne Rd NE
Ste 220
Minneapolis, MN 55432
Phone (763) 786-1620

6545 France Ave S
Ste 210
Minneapolis, MN 55435
Phone (952) 928-2900

2805 Campus Dr
Ste 105
Plymouth, MN 55441
Phone (763) 519-7440

1580 Beam Ave
Saint Paul, MN 55109
Phone (651) 255-8480

2550 University Ave W
Ste 110N
Saint Paul, MN 55114
Phone (651) 602-5309

1575 Beam Ave
Saint Paul, MN 55109
Phone (651) 232-7000

310 Smith Ave N
Ste 100
Saint Paul, MN 55102
Phone (651) 251-5500

2550 University Ave W
Ste 105N
Saint Paul, MN 55114
Phone (651) 602-5335

560 S Maple St
Ste 100
Waconia, MN 55387
Phone (952) 442-6006

6025 Lake Rd
Ste 110
Woodbury, MN 55125
Phone (651) 735-7414

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469404800000",
    "number": "1497701601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11850 BLACKFOOT STREET NW",
            "address_2": "SUITE 100",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554332598",
            "telephone_number": "763-712-2100",
            "fax_number": "763-712-2190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3960 COON RAPIDS BLVD NW",
            "address_2": "SUITE 311",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554332569",
            "telephone_number": "763-712-2100",
            "fax_number": "763-712-2190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWEARINGEN",
        "first_name": "TRACIE",
        "middle_name": "L",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-26",
        "last_updated": "2016-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MN",
            "license": "875741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACIE",
            "last_name": "LARSON",
            "middle_name": "L",
            "credential": "RD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Coon Rapids, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.