Active NPI
Dawn Hansen, SLP
- Speech-Language Pathologist
- Gilroy, CA
National Provider Identifier
1528129806
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP5621
- Practice address
- 7888 Wren Ave Ste C131
Gilroy, CA 95020-4965 - Phone
- (408) 847-7900
- Fax
- (408) 847-3757
- NPI assigned
- Dec 12, 2006
- Last updated
- May 28, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 5621 | CA | |
| Speech-Language Pathologist | 235Z00000X | SP5621 | CA | Primary |
Addresses
Primary practice location
7888 Wren Ave Ste C131
Gilroy, CA 95020-4965
Mailing address
662 Hazel Dell Rd
Corralitos, CA 95076-0313
Phone (408) 847-7900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110317000362 | CA | Practitioner - Qualified Speech Language Pathologist | 0648453332 | Practice locations: Gilroy, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
139 2ND St
Gilroy, CA 95020-5102
Phone (831) 755-2585
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Speech-Language Pathologist
- Gilroy, CA
- NPI 1295896520
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716854400000",
"number": "1528129806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "662 HAZEL DELL RD",
"city": "CORRALITOS",
"state": "CA",
"postal_code": "950760313",
"telephone_number": "408-847-7900",
"fax_number": "408-847-3757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7888 WREN AVE STE C131",
"city": "GILROY",
"state": "CA",
"postal_code": "950204965",
"telephone_number": "408-847-7900",
"fax_number": "408-847-3757"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSEN",
"first_name": "DAWN",
"credential": "SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-12",
"last_updated": "2024-05-28",
"certification_date": "2024-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "5621",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "SP5621",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gilroy, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.