Madeline Kate Blundell, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

9638 Issued in LA

Practice address

1316 E Kentucky Ave
Ruston, LA 71270-6609

Phone

(318) 224-9081

NPI assigned

Jul 2, 2025

Last updated

Jul 2, 2025By 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

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

{
    "created_epoch": "1751414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751414400000",
    "number": "1689563751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1316 E KENTUCKY AVE",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712706609",
            "telephone_number": "318-224-9081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1316 E KENTUCKY AVE",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712706609",
            "telephone_number": "318-224-9081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUNDELL",
        "first_name": "MADELINE",
        "middle_name": "KATE",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-02",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "LA",
            "license": "9638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Marcus Black, RPH
• Aimee Blackham, PHD
• Cody Blackwelder, MD
• Mark Blackwelder, M.D.
• Allie Blackwood, DNP, CRNA
• Boersma Clinic, LLC
• Taylor Blake Boggs, APRN, FNP-C
• Bonnie Lejeune Buller, LLC
• Heather Taylor Boone
• Brandi Elizabeth Bordelon, FNP-C

• Speech-Language Pathologist in Ruston, LA
• Providers in Ruston, LA by specialty
• Speech-Language Pathologist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2025; 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.