Individual provider Active NPI

Brenna Hoisington, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Saint Peter, MN
National Provider Identifier
1003351693
Registry record updated Apr 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
9205 Issued in MN
Practice address
830 Sunrise Dr Ste B
Saint Peter, MN 56082-1203
Phone
(507) 934-3573
Fax
(507) 934-4072
NPI assigned
Jan 5, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 9205 MN Primary

Addresses

Primary practice location

830 Sunrise Dr Ste B
Saint Peter, MN 56082-1203

Mailing address

830 Sunrise Dr Ste B
Saint Peter, MN 56082-1203
Phone (507) 934-3573

Other practice location 1

47383 Ridgetop Rd
Madison Lake, MN 56063-4128
Phone (507) 381-6365

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170720001521 MN Practitioner - Qualified Speech Language Pathologist 5294005765 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

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": "1483574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618358400000",
    "number": "1003351693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 SUNRISE DR STE B",
            "city": "SAINT PETER",
            "state": "MN",
            "postal_code": "560821203",
            "telephone_number": "507-934-3573",
            "fax_number": "507-934-4072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 SUNRISE DR STE B",
            "city": "SAINT PETER",
            "state": "MN",
            "postal_code": "560821203",
            "telephone_number": "507-934-3573",
            "fax_number": "507-934-4072"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "47383 Ridgetop Rd",
            "address_purpose": "LOCATION",
            "city": "Madison Lake",
            "state": "MN",
            "postal_code": "560634128",
            "country_code": "US",
            "telephone_number": "507-381-6365",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOISINGTON",
        "first_name": "BRENNA",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-05",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "9205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Peter, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2021; 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.