Individual provider Active NPI

Rebecca Anita Tveten

  • Social Worker
  • Minnetonka, MN
National Provider Identifier
1831709468
Registry record updated Jan 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
10505 Wayzata Blvd Ste 203-3
Minnetonka, MN 55305-1502
Phone
(651) 252-8001
Fax
(866) 318-3073
NPI assigned
Aug 7, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X MN Primary

Addresses

Primary practice location

10505 Wayzata Blvd Ste 203-3
Minnetonka, MN 55305-1502

Mailing address

10505 Wayzata Blvd Ste 203-3
Minnetonka, MN 55305-1502
Phone (651) 252-8001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231102001442 MN Practitioner - Clinical Social Worker 2567818016 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Know Thyself, PLLCGroup PAC ID 9436514817, 2 clinicians

Practice addresses (Care Compare)

10505 Wayzata Blvd
Suite 203 3
Minnetonka, MN 55305-1502
Phone (612) 269-6578

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
29484MNMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Know Thyself, PLLC CurrentSince Aug 1, 2023 Accepting new patients

Locations

10505 Wayzata Blvd
Ste 2033
Minnetonka, MN 55305
Phone (612) 269-6578

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.

NPI Registry JSON

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

{
    "created_epoch": "1596758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675123200000",
    "number": "1831709468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10505 WAYZATA BLVD STE 203-3",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553051502",
            "telephone_number": "651-252-8001",
            "fax_number": "866-318-3073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10505 WAYZATA BLVD STE 203-3",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553051502",
            "telephone_number": "651-252-8001",
            "fax_number": "866-318-3073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TVETEN",
        "first_name": "REBECCA",
        "middle_name": "ANITA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-07",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minnetonka, MN

Sources for this page

Verify at the official NPI Registry.