Active NPI
Grace Modde
- Speech-Language Pathologist
- Florissant, MO
National Provider Identifier
1346128956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2024029399
- Practice address
- 15955 New Halls Ferry Rd
Florissant, MO 63031-1298 - Phone
- (314) 953-5000
- NPI assigned
- Aug 22, 2025
- Last updated
- Aug 22, 2025
- Sex
- Female
- Sole proprietor
- No
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 | 2024029399 | MO | Primary |
Addresses
Primary practice location
15955 New Halls Ferry Rd
Florissant, MO 63031-1298
Mailing address
3660 Connecticut St
Saint Louis, MO 63116-4818
Phone (314) 413-5351
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2024029399 | MO | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1755820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755820800000",
"number": "1346128956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3660 CONNECTICUT ST",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631164818",
"telephone_number": "314-413-5351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15955 NEW HALLS FERRY RD",
"city": "FLORISSANT",
"state": "MO",
"postal_code": "630311298",
"telephone_number": "314-953-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MODDE",
"first_name": "GRACE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-08-22",
"last_updated": "2025-08-22",
"certification_date": "2025-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MO",
"license": "2024029399",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Florissant, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.