Individual provider Active NPI

Hannah Rose Coskran

  • Speech-Language Pathologist
  • White Bear Lake, MN
National Provider Identifier
1427555192
Registry record updated Apr 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
2555 County Road E E # 102
White Bear Lake, MN 55110-4906
Phone
(651) 683-2953
NPI assigned
Apr 10, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Speech-Language Pathologist 235Z00000X Primary

Addresses

Primary practice location

2555 County Road E E # 102
White Bear Lake, MN 55110-4906

Mailing address

2555 County Road E E # 102
White Bear Lake, MN 55110-4906

Other practice location 1

2344 Helen St N
North St Paul, MN 55109-2942
Phone (651) 773-5988

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210708001167 MN Practitioner - Qualified Speech Language Pathologist 0547662991 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Advance Occupational Therapy, LLC CurrentSince Jun 1, 2021 Accepting new patients
Advance Speech Therapy, LLC Speech-Language Pathologist CurrentSince Jun 1, 2021 Accepting new patients

Locations

6776 Lake Dr
Ste 220
Lino Lakes, MN 55014
Phone (651) 784-7007

2555 County Road E E
#102
White Bear Lake, MN 55110
Phone (651) 683-2953

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.

NPI Registry JSON

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

{
    "created_epoch": "1523318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650844800000",
    "number": "1427555192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2555 COUNTY ROAD E E # 102",
            "city": "WHITE BEAR LAKE",
            "state": "MN",
            "postal_code": "551104906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 COUNTY ROAD E E # 102",
            "city": "WHITE BEAR LAKE",
            "state": "MN",
            "postal_code": "551104906",
            "telephone_number": "651-683-2953"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2344 Helen St N",
            "address_purpose": "LOCATION",
            "city": "North St Paul",
            "state": "MN",
            "postal_code": "551092942",
            "country_code": "US",
            "telephone_number": "651-773-5988",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COSKRAN",
        "first_name": "HANNAH",
        "middle_name": "ROSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-10",
        "last_updated": "2022-04-25",
        "certification_date": "2021-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Bear Lake, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2022; 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.