Active NPI
Hannah Brooke Koepp, M.S., CF-SLP
- Speech-Language Pathologist
- Mukwonago, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 240 Maple Ave
Mukwonago, WI 53149-8475 - Phone
- (262) 363-1900
- NPI assigned
- May 19, 2023
- Last updated
- Aug 3, 2023
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | NU | Primary |
Addresses
Primary practice location
240 Maple Ave
Mukwonago, WI 53149-8475
Mailing address
240 Maple Ave
Mukwonago, WI 53149-8475
Phone (262) 363-1900
Other practice location 1
17280 W North Ave
Brookfield, WI 53045-4366
Phone (262) 928-8830
Other practice location 2
725 American Ave
Waukesha, WI 53188-5031
Phone (262) 928-1000
Other practice location 3
1185 Corporate Center Dr
Oconomowoc, WI 53066-4887
Phone (262) 928-8400
Other names 1
- Hannah Brooke Taylor
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prohealth Medical Group Inc | Current | Accepting new patients | |
| Prohealth Oconomowoc Memorial Hospital, Inc. | Past | Accepting new patients | |
| Prohealth Medical Group Inc | Past | Accepting new patients |
Locations
17280 W North Ave
Ste 104
Brookfield, WI 53045
Phone (262) 780-0707
240 Maple Ave
Mukwonago, WI 53149
Phone (262) 928-1900
725 American Ave
Waukesha, WI 53188
Phone (262) 544-2011
N17W24100 Riverwood Dr
Waukesha, WI 53188
Phone (262) 820-3093
Organizations & group practices 4
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.
-
- Pediatrics Physician
- Waukesha, WI
- NPI 1356322440
-
- Internal Medicine Physician
- Watertown, WI
- NPI 1629119417
-
- Family Medicine Physician
- Waukesha, WI
- NPI 1790720613
-
dba ProHealth Pharmacy - Oconomowoc
- Community/Retail Pharmacy
- Oconomowoc, WI
- NPI 1497942205
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691020800000",
"number": "1558052480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "240 MAPLE AVE",
"city": "MUKWONAGO",
"state": "WI",
"postal_code": "531498475",
"telephone_number": "262-363-1900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 MAPLE AVE",
"city": "MUKWONAGO",
"state": "WI",
"postal_code": "531498475",
"telephone_number": "262-363-1900"
}
],
"practiceLocations": [
{
"address_1": "17280 W North Ave",
"address_purpose": "LOCATION",
"city": "Brookfield",
"state": "WI",
"postal_code": "530454366",
"country_code": "US",
"telephone_number": "262-928-8830",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "725 American Ave",
"address_purpose": "LOCATION",
"city": "Waukesha",
"state": "WI",
"postal_code": "531885031",
"country_code": "US",
"telephone_number": "262-928-1000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1185 Corporate Center Dr",
"address_purpose": "LOCATION",
"city": "Oconomowoc",
"state": "WI",
"postal_code": "530664887",
"country_code": "US",
"telephone_number": "262-928-8400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOEPP",
"first_name": "HANNAH",
"middle_name": "BROOKE",
"credential": "M.S., CF-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-19",
"last_updated": "2023-08-03",
"certification_date": "2023-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HANNAH",
"last_name": "TAYLOR",
"middle_name": "BROOKE",
"credential": "M.S., CF-SLP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Mukwonago, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; 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.