Individual provider Active NPI

Taylor Kracke, M.A., CCC-SLP, NTMTC

  • Speech-Language Pathologist
  • Hiawatha, IA
National Provider Identifier
1801645981
Registry record updated May 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
100754 Issued in IA
Practice address
1079 N Center Point Rd
Hiawatha, IA 52233-1231
Phone
(319) 369-8001
NPI assigned
May 13, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 100754 IA Primary

Addresses

Primary practice location

1079 N Center Point Rd
Hiawatha, IA 52233-1231

Mailing address

1079 N Center Point Rd
Hiawatha, IA 52233-1231
Phone (319) 369-8001

Other practice location 1

3245 Williams Pkwy SW
Cedar Rapids, IA 52404-1446
Phone (319) 369-8407

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 Arts

State licenses

LicenseStateTypeSpecialty
100754IAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1715558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715558400000",
    "number": "1801645981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1079 N CENTER POINT RD",
            "city": "HIAWATHA",
            "state": "IA",
            "postal_code": "522331231",
            "telephone_number": "319-369-8001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1079 N CENTER POINT RD",
            "city": "HIAWATHA",
            "state": "IA",
            "postal_code": "522331231",
            "telephone_number": "319-369-8001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3245 Williams Pkwy SW",
            "address_purpose": "LOCATION",
            "city": "Cedar Rapids",
            "state": "IA",
            "postal_code": "524041446",
            "country_code": "US",
            "telephone_number": "319-369-8407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRACKE",
        "first_name": "TAYLOR",
        "credential": "M.A., CCC-SLP, NTMTC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-13",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IA",
            "license": "100754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hiawatha, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; 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.