Individual provider Active NPI

Madison Jan Stonestreet, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Carrollton, TX
National Provider Identifier
1326395666
Registry record updated Jun 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
111550 Issued in TX
Practice address
4443 N Josey LN Ste 100
Carrollton, TX 75010-4677
Phone
(972) 394-8900
NPI assigned
Aug 6, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2019

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 111550 TX Primary

Addresses

Primary practice location

4443 N Josey LN Ste 100
Carrollton, TX 75010-4677

Mailing address

4443 N Josey LN Ste 100
Carrollton, TX 75010-4677
Phone (972) 394-8900

Other identifiers 2

IdentifierTypeStateIssuer
111550OtherTXTEXAS STATE SPEECH PATHOLOGY LICENSE
14068573OtherASHA NATIONAL LICENSE

Other names 1

  • N/a N/a Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2490 Paseo Verde Pkwy
Suite 155
Henderson, NV 89074-7120

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
111550TXMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1344211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559520000000",
    "number": "1326395666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4443 N JOSEY LN STE 100",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104677",
            "telephone_number": "972-394-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4443 N JOSEY LN STE 100",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104677",
            "telephone_number": "972-394-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STONESTREET",
        "first_name": "MADISON",
        "middle_name": "JAN",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-06",
        "last_updated": "2019-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "111550",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS STATE SPEECH PATHOLOGY LICENSE",
            "identifier": "111550",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHA NATIONAL LICENSE",
            "identifier": "14068573",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "N/A",
            "last_name": "N/A",
            "credential": "M.S., CCC-SLP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Carrollton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.