Madeline Michelle Rousseaux, SLP-CCC

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

30001624 Issued in NC

Practice address

211 W Matthews St
Matthews, NC 28105-1309

Phone

(704) 846-0262

NPI assigned

Mar 31, 2023

Last updated

Mar 31, 2023By the provider in NPPES

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Early Bird Developmental Services, LLC

  • Speech-Language Pathologist
  • Matthews, NC
  • NPI 1891869236
  NPD (past)

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

{
    "created_epoch": "1680220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680220800000",
    "number": "1255036117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3007 SIMMON TREE RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282700676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 W MATTHEWS ST",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281051309",
            "telephone_number": "704-846-0262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUSSEAUX",
        "first_name": "MADELINE",
        "middle_name": "MICHELLE",
        "credential": "SLP-CCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-31",
        "last_updated": "2023-03-31",
        "certification_date": "2023-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NC",
            "license": "30001624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Ross, FNP-BC
• William Errett Roth, NCMFT
• Rebecca Rothera
• Paulvalery Roulette, MD
• Suzanna Rountree, PHARMD
• Joanna Grace Rowles, M.S., CCC-SLP
• Nivedita Roy, LCAS, LCMHC
• Kristine Diane Royen, DPT
• Jillian Michelle Rubio, CCC-SLP
• Kevin M. Rudisel, MD

• Student in an Organized Health Care Education/Training Program in Matthews, NC
• Providers in Matthews, NC by specialty
• Student in an Organized Health Care Education/Training Program in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2023; 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.