Stephanie J Kroeker

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

SPA530 Issued in CA

Practice address

41689 Enterprise Cir N
Suite 118
Temecula, CA 92590-5630

Phone

(951) 541-0615

Fax

(951) 296-1943

NPI assigned

Sep 6, 2011

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

Other names 1

• Stephanie J Morgan Former name

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 and National Provider Directory roles.

• Nichols Speech and Language Services

  • Speech-Language Pathologist
  • Temecula, CA
  • NPI 1295031318
  NPD (past)
• Nichols Speech Pathology and Therapy Services, Inc.

  • Speech-Language Pathologist
  • Temecula, CA
  • NPI 1093034779
  NPD (past)

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

{
    "created_epoch": "1315267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315267200000",
    "number": "1487935334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1751 W CITRACADO PKWY",
            "address_2": "#185",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920294157",
            "telephone_number": "760-224-6661",
            "fax_number": "951-296-1943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41689 ENTERPRISE CIR N",
            "address_2": "SUITE 118",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925905630",
            "telephone_number": "951-541-0615",
            "fax_number": "951-296-1943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROEKER",
        "first_name": "STEPHANIE",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-06",
        "last_updated": "2011-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "CA",
            "license": "SPA530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "MORGAN",
            "middle_name": "J",
            "credential": "BS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Donna Krepak, D.O.
• Jocelyn Krisilas, PT
• Kristine T. Wagner, PH.D, Inc.
• Madison Kritsch, DO
• Michael Krkeyan
• Emma Tylynn Krohne
• Andrew Ku, MD
• Min H Ku, DDS
• John Kubai
• Lisa M Kubin

• Speech-Language Assistant in Temecula, CA
• Providers in Temecula, CA by specialty
• Speech-Language Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2011; 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.