Individual provider Active NPI

Hannah Gwinn, M.S CCC-SLP

  • Speech-Language Pathologist
  • Edmond, OK
National Provider Identifier
1295228674
Registry record updated Jun 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
4675 Issued in OK
Practice address
301 S Boulevard
Edmond, OK 73034-3878
Phone
(405) 285-6765
NPI assigned
Jun 11, 2018
Last updated
Jun 11, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2018

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 4675 OK Primary

Addresses

Primary practice location

301 S Boulevard
Edmond, OK 73034-3878

Mailing address

2133 E 2ND St Apt 6304
Edmond, OK 73034-1812
Phone (405) 320-1152

Other names 1

  • Hannah Mahan Former name

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
Master of Science

State licenses

LicenseStateTypeSpecialty
4675OKMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1528675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528675200000",
    "number": "1295228674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2133 E 2ND ST APT 6304",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730341812",
            "telephone_number": "405-320-1152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S BOULEVARD",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730343878",
            "telephone_number": "405-285-6765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GWINN",
        "first_name": "HANNAH",
        "name_prefix": "Mrs.",
        "credential": "M.S CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-11",
        "last_updated": "2018-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OK",
            "license": "4675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HANNAH",
            "last_name": "MAHAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.