Individual provider Active NPI

Hannah L Spencer

  • Speech-Language Pathologist
  • Waubun, MN
National Provider Identifier
1669236469
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
528768 Issued in MN
Practice address
1904 340TH St
Waubun, MN 56589-9110
Phone
(218) 849-3986
NPI assigned
Feb 12, 2024
Last updated
Apr 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

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 528768 MN Primary

Addresses

Primary practice location

1904 340TH St
Waubun, MN 56589-9110

Mailing address

1904 340TH St
Waubun, MN 56589-9110
Phone (218) 849-3986

Other practice location 1

910 Lincoln Ave Ste 101
Detroit Lakes, MN 56501-3500
Phone (218) 849-3986

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240405001818 MN Practitioner - Qualified Speech Language Pathologist 0941648265 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ascent Speech and Language Therapy LLC Speech-Language Pathologist CurrentSince Feb 13, 2024 Accepting new patients

Locations

910 Lincoln Ave
Ste 101
Detroit Lakes, MN 56501
Phone (218) 849-3986

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.

NPI Registry JSON

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

{
    "created_epoch": "1707696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1669236469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1904 340TH ST",
            "city": "WAUBUN",
            "state": "MN",
            "postal_code": "565899110",
            "telephone_number": "218-849-3986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1904 340TH ST",
            "city": "WAUBUN",
            "state": "MN",
            "postal_code": "565899110",
            "telephone_number": "218-849-3986"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "910 Lincoln Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Detroit Lakes",
            "state": "MN",
            "postal_code": "565013500",
            "country_code": "US",
            "telephone_number": "218-849-3986",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "HANNAH",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-12",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "528768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waubun, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; 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.