{
"Npi": {
"NPI": "1669801106",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "SWENSON",
"FirstName": "KATELYN",
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": "APRN, FNP-C",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "1262 MAIN AVE W",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "WEST FARGO",
"MailingAddressStateName": "ND",
"MailingAddressPostalCode": "58078-1312",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "701-499-5525",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "1262 MAIN AVE W",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "WEST FARGO",
"PracticeLocationAddressStateName": "ND",
"PracticeLocationAddressPostalCode": "58078-1312",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "701-499-5525",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "11/05/2013",
"LastUpdateDate": "09/29/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "207Q00000X",
"TaxonomyName": "Family Medicine Physician",
"LicenseNumber": "203036",
"LicenseNumberStateCode": "ND",
"PrimaryTaxonomySwitch": "Y"
},
{
"TaxonomyCode": "163W00000X",
"TaxonomyName": "Registered Nurse",
"LicenseNumber": "R37988",
"LicenseNumberStateCode": "ND",
"PrimaryTaxonomySwitch": "N"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}