Active NPI
Grace Elizabeth Kroeger, MS, CCC-SLP
- Speech-Language Pathologist
- Marshall, MO
National Provider Identifier
1194447417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2022025335
- Practice address
- 945 N Miami Ave
Marshall, MO 65340-9138 - Phone
- (660) 886-7419
- NPI assigned
- Sep 13, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 | 2022025335 | MO | Primary |
Addresses
Primary practice location
945 N Miami Ave
Marshall, MO 65340-9138
Mailing address
30103 Boonville Rd
Sedalia, MO 65301-1298
Phone (660) 620-1112
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2022025335 | MO | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786492800000",
"number": "1194447417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30103 BOONVILLE RD",
"city": "SEDALIA",
"state": "MO",
"postal_code": "653011298",
"telephone_number": "660-620-1112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "945 N MIAMI AVE",
"city": "MARSHALL",
"state": "MO",
"postal_code": "653409138",
"telephone_number": "660-886-7419"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KROEGER",
"first_name": "GRACE",
"middle_name": "ELIZABETH",
"credential": "MS, CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-09-13",
"last_updated": "2026-08-12",
"certification_date": "2026-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MO",
"license": "2022025335",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marshall, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.