Individual provider Active NPI

Hannah Brooke Koepp, M.S., CF-SLP

  • Speech-Language Pathologist
  • Mukwonago, WI
National Provider Identifier
1558052480
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
240 Maple Ave
Mukwonago, WI 53149-8475
Phone
(262) 363-1900
NPI assigned
May 19, 2023
Last updated
Aug 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2023

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 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 Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230713001301 WI Practitioner - Qualified Speech Language Pathologist 9032579776 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Prohealth Medical Group Inc CurrentSince Mar 28, 2025 Accepting new patients
Prohealth Oconomowoc Memorial Hospital, Inc. PastSince Mar 28, 2025 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.

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.

Verify at the official NPI Registry.