Hannah Brunner

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

7101009174 Issued in MI

Practice address

1161 E Clark Rd Ste 360
Dewitt, MI 48820-7962

Phone

(517) 507-5525

NPI assigned

Jan 29, 2019

Last updated

Nov 18, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Hannah Heidorn Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ivyrehab Michigan, LLC

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Fenton, MI
  • NPI 1104337120

  Speech-Language Pathologist

  NPD

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

{
    "created_epoch": "1548720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1376007724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1161 E CLARK RD STE 360",
            "city": "DEWITT",
            "state": "MI",
            "postal_code": "488207962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1161 E CLARK RD STE 360",
            "city": "DEWITT",
            "state": "MI",
            "postal_code": "488207962",
            "telephone_number": "517-507-5525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNNER",
        "first_name": "HANNAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-29",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101009174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HANNAH",
            "last_name": "HEIDORN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Shanna Marie Brewster, RN, BSN
• Stacie Briggs, PA-C
• Madison Innes Brodoski, M.A., CF-SLP
• Marilynn Lee Brown, LLP
• Lauren Brownell, MS, OTR/L
• Madison Susan Burroughs, RBT
• Shylee F Cairns
• Susan Caldwell, MD
• Capitol Area Physical Therapy Associates, Inc (Fyzical Therapy Mid-Michigan)
• Jessica Lee Carpenter

• Speech-Language Pathologist in Dewitt, MI
• Providers in Dewitt, MI by specialty
• Speech-Language Pathologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; 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.