Grace C Elbrader

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

3982 Issued in KS

Practice address

5427 Johnson Dr
Mission, KS 66205-2912

Phone

(913) 912-2174

NPI assigned

Apr 15, 2024

Last updated

May 17, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Children's Therapy Services Inc

  • Speech-Language Pathologist
  • Overland Park, KS
  • NPI 1740323575
  NPD (past)

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

{
    "created_epoch": "1713139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715904000000",
    "number": "1114771292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5427 JOHNSON DR",
            "city": "MISSION",
            "state": "KS",
            "postal_code": "662052912",
            "telephone_number": "913-912-2174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5427 JOHNSON DR",
            "city": "MISSION",
            "state": "KS",
            "postal_code": "662052912",
            "telephone_number": "913-912-2174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELBRADER",
        "first_name": "GRACE",
        "middle_name": "C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-15",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KS",
            "license": "3982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan James Durand, DC
• Wanda Easterwood
• Tricia Katherine Ebert, APRN-PMHNP-BC
• Sydnee Rose Eck, PA-C
• Stephen Thomas Eiben, MS
• Sarah Emery, OTD
• Encore Therapy & Performance, LLC
• Sarah Baylee Engle, PT, DPT
• Eva Renae Erickson
• Larry J Estes, PT

• Speech-Language Pathologist in Mission, KS
• Providers in Mission, KS by specialty
• Speech-Language Pathologist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.