Bluestem Osteopathy LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BLUESTEM OSTEOPATHY LLC

Practice address

17660 Saint Croix TRL N
Marine on Saint Croix, MN 55047-9763

Phone

(920) 428-0133

NPI assigned

Nov 5, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Katherine Swanson, DONPI 1104351584

Title

Owner / Ceo

Phone

(920) 428-0133

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Practitioners 1

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

• Katherine Swanson, D.O.

  • Family Medicine Physician
  • Stillwater, MN
  • NPI 1104351584
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1730764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730764800000",
    "number": "1720801038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17660 SAINT CROIX TRL N",
            "city": "MARINE ON SAINT CROIX",
            "state": "MN",
            "postal_code": "550479763",
            "telephone_number": "920-428-0133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17660 SAINT CROIX TRL N",
            "city": "MARINE ON SAINT CROIX",
            "state": "MN",
            "postal_code": "550479763",
            "telephone_number": "920-428-0133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUESTEM OSTEOPATHY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-05",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A",
        "authorized_official_last_name": "SWANSON",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "OWNER / CEO",
        "authorized_official_telephone_number": "920-428-0133",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Jean Feil, PHD, LP
• Kathleen J. Feil, PHD, LP, PLC
• Marine Area Community School
• Marine Village School
• Kathryn Ocanas

• Family Medicine Physician in Marine on Saint Croix, MN
• Providers in Marine on Saint Croix, MN by specialty
• Family Medicine Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; 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.