Active NPI
Kristin Elna Swanson, M.D.
- Family Medicine Physician
- La Crosse, WI
National Provider Identifier
1730382094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 26885
- Practice address
- 1300 Badger St
Uw-la Crosse Student Health Center
La Crosse, WI 54601-1502 - Phone
- (608) 785-8558
- NPI assigned
- Jun 6, 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 26885 | WI | Primary |
Addresses
Primary practice location
1300 Badger St
Uw-la Crosse Student Health Center
La Crosse, WI 54601-1502
Mailing address
1300 Badger St
Uw-la Crosse Student Health Center
La Crosse, WI 54601-1502
Phone (608) 785-8558
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26885 | WI | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1730382094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 BADGER ST",
"address_2": "UW-LA CROSSE STUDENT HEALTH CENTER",
"city": "LA CROSSE",
"state": "WI",
"postal_code": "546011502",
"telephone_number": "608-785-8558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 BADGER ST",
"address_2": "UW-LA CROSSE STUDENT HEALTH CENTER",
"city": "LA CROSSE",
"state": "WI",
"postal_code": "546011502",
"telephone_number": "608-785-8558"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWANSON",
"first_name": "KRISTIN",
"middle_name": "ELNA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WI",
"license": "26885",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Crosse, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.