Active NPI
Elle Hawkinson, AUDIOLOGIST
- Audiologist
- Bloomington, MN
National Provider Identifier
1235377458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 8437
- Practice address
- 4801 W 81St St Ste 112
Bloomington, MN 55437-1111 - Phone
- (952) 345-0000
- Fax
- (952) 345-6789
- NPI assigned
- Jan 26, 2009
- 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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | 8437 | MN | Primary |
Addresses
Primary practice location
4801 W 81St St Ste 112
Bloomington, MN 55437-1111
Mailing address
4801 W 81St St Ste 112
Bloomington, MN 55437-1111
Phone (952) 345-0000
Other practice location 1
1630 101st Ave NE Ste 160
Blaine, MN 55449-3403
Phone (952) 345-3000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ENROLLED | Medicaid | IA | |
| ENROLLED | Medicaid | MN |
Other names 1
- Elle M. Hawkinson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- University of Minnesota, Duluth School of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4801 W 81St St
Suite 112
Bloomington, MN 55437-1111
Phone (952) 345-3000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8437 | MN | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifespark Medical Group, PA | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Physical Medicine & Rehabilitation Physician
- Bloomington, MN
- NPI 1023021938
-
- Geriatric Medicine (Family Medicine) Physician
- St Louis Park, MN
- NPI 1427551746
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715817600000",
"number": "1235377458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4801 W 81ST ST STE 112",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554371111",
"telephone_number": "952-345-0000",
"fax_number": "952-345-6789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4801 W 81ST ST STE 112",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554371111",
"telephone_number": "952-345-0000",
"fax_number": "952-345-6789"
}
],
"practiceLocations": [
{
"address_1": "1630 101st Ave NE Ste 160",
"address_purpose": "LOCATION",
"city": "Blaine",
"state": "MN",
"postal_code": "554493403",
"country_code": "US",
"telephone_number": "952-345-3000",
"fax_number": "952-345-6789",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAWKINSON",
"first_name": "ELLE",
"credential": "AUDIOLOGIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-26",
"last_updated": "2024-05-16",
"certification_date": "2024-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MN",
"license": "8437",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ENROLLED",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ENROLLED",
"state": "MN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ELLE",
"last_name": "HAWKINSON",
"middle_name": "M.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Bloomington, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.