Active NPI
Madison Maria Kraemer, MS, CF-SLP
- Speech-Language Pathologist
- House Springs, MO
National Provider Identifier
1457079790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2022032764
- Practice address
- 6922 Rivermont TRL
House Springs, MO 63051-2027 - Phone
- (636) 671-3330
- NPI assigned
- Aug 22, 2022
- 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 | 2022032764 | MO | Primary |
Addresses
Primary practice location
6922 Rivermont TRL
House Springs, MO 63051-2027
Mailing address
18017 Babler Farms LN
Wildwood, MO 63005-6239
Phone (314) 620-1997
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 |
|---|---|---|---|
| 2022032764 | MO | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661126400000",
"number": "1457079790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18017 BABLER FARMS LN",
"city": "WILDWOOD",
"state": "MO",
"postal_code": "630056239",
"telephone_number": "314-620-1997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6922 RIVERMONT TRL",
"city": "HOUSE SPRINGS",
"state": "MO",
"postal_code": "630512027",
"telephone_number": "636-671-3330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRAEMER",
"first_name": "MADISON",
"middle_name": "MARIA",
"name_prefix": "Miss",
"credential": "MS, CF-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-22",
"last_updated": "2022-08-22",
"certification_date": "2022-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MO",
"license": "2022032764",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in House Springs, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.