Individual provider Active NPI

Madalyn Peterson

  • Speech-Language Assistant
  • Grandview, MO
National Provider Identifier
1114824497
Registry record updated Oct 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
2026048047 Issued in MO
Practice address
2500 High Grove Rd
Grandview, MO 64030-5400
Phone
(816) 316-5500
NPI assigned
Oct 21, 2026
Last updated
Oct 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 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 Assistant 2355S0801X 2026048047 MO Primary

Addresses

Primary practice location

2500 High Grove Rd
Grandview, MO 64030-5400

Mailing address

13210 Foster St Apt 3116
Overland Park, KS 66213-2875
Phone (405) 762-3617

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1792540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792540800000",
    "number": "1114824497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13210 FOSTER ST APT 3116",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662132875",
            "telephone_number": "405-762-3617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 HIGH GROVE RD",
            "city": "GRANDVIEW",
            "state": "MO",
            "postal_code": "640305400",
            "telephone_number": "816-316-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "MADALYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-10-21",
        "last_updated": "2026-10-21",
        "certification_date": "2026-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "MO",
            "license": "2026048047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grandview, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.