Madison Grace Crenshaw, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

119576 Issued in TX

Practice address

725 E Ovilla Rd
Red Oak, TX 75154-5142

Phone

(972) 617-2266

NPI assigned

Aug 5, 2024

Last updated

Aug 5, 2024By 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

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Red Oak Isd

  • Speech-Language Pathologist
  • Red Oak, TX
  • NPI 1265236467
  NPD

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

{
    "created_epoch": "1722816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1720818800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 W RED OAK RD",
            "city": "RED OAK",
            "state": "TX",
            "postal_code": "75154",
            "telephone_number": "972-617-2941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 E OVILLA RD",
            "city": "RED OAK",
            "state": "TX",
            "postal_code": "751545142",
            "telephone_number": "972-617-2266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRENSHAW",
        "first_name": "MADISON",
        "middle_name": "GRACE",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-05",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "119576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Columbia Medical Center of Arlington Subsidiary LP (Medical City ER at Red Oak, a department of Medical City Arlington)
• Comfort Lift Transit
• Michael Cooper, DMD
• Laura Melissa Courchesne, LPC-ASSOCIATE
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• Cse Professional Services LLC (CSE Mobility & Scrubs)
• Mariolis N/a Cueva Velazquez, RN
• Ferne N Cummings, MD
• CVS Pharmacy Inc (CVS Pharmacy 07675)

• Speech-Language Pathologist in Red Oak, TX
• Providers in Red Oak, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.