Northland Neurology and Myology PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

1385 Issued in MN

Legal business name

NORTHLAND NEUROLOGY AND MYOLOGY PA

Practice address

130 7TH Ave W
Floodwood, MN 55736-1200

Phone

(218) 722-1122

Fax

(218) 722-0600

NPI assigned

Jul 15, 2006

Organization subpart

No

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

Authorized official

Name

Alissa Marshall

Title

Administrator

Phone

(218) 722-1122

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amber Irene Erickson, MD

  • Neurology Physician
  • Floodwood, MN
  • NPI 1760528418
  Medicare reassignment Care Compare group NPD
• Rebecca Ann Meyerson

  • Neurology Physician
  • Duluth, MN
  • NPI 1487688933
  Medicare reassignment Care Compare group NPD
• Tammy Lynn Davis

  • Family Nurse Practitioner
  • Duluth, MN
  • NPI 1528134129
  Medicare reassignment NPD

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760572800000",
    "number": "1649296245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 7TH AVE W",
            "city": "FLOODWOOD",
            "state": "MN",
            "postal_code": "557361200",
            "telephone_number": "218-722-1122",
            "fax_number": "218-722-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 7TH AVE W",
            "city": "FLOODWOOD",
            "state": "MN",
            "postal_code": "557361200",
            "telephone_number": "218-722-1122",
            "fax_number": "218-722-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHLAND NEUROLOGY AND MYOLOGY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "ALISSA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "218-722-1122"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MN",
            "license": "1385",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "851984",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32852300",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "S1117",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brenda Jean Hansen
• Terani Rose Harris, RDH, DT, ADT
• Ind School Dist 698
• Neil Raymond Johnson
• Clayton Albin Lewandowski, DDS
• Heidi Jean Schminski, APRN, CNP
• Dawn Christine Shafer, RN-CFNP
• Leo Russell Shockley Jr., D.D.S
• James Richard Swanstrom, DDS.
• Antonio Timbol Toledo, M.D.

• Specialist in Floodwood, MN
• Providers in Floodwood, MN by specialty
• Specialist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.