Active NPI
Madisyn Elyse Clausen, MS CCC-SLP
- Speech-Language Pathologist
- Lakeway, TX
National Provider Identifier
1952015455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 118849
- Practice address
- 2000 Medical Dr
Lakeway, TX 78734-4200 - Phone
- (512) 263-4500
- NPI assigned
- Jan 9, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 118849 | TX | Primary |
Addresses
Primary practice location
2000 Medical Dr
Lakeway, TX 78734-4200
Mailing address
5900 Cameron Rd Apt 2018
Austin, TX 78723-0073
Phone (520) 425-5770
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 118849 | Other | TX | SPEECH LANGUAGE PATHOLOGY LICENSE |
| 14420518 | Other | ASHA SPEECH PATHOLOGY CERTIFICATION |
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 118849 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673222400000",
"number": "1952015455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5900 CAMERON RD APT 2018",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787230073",
"telephone_number": "520-425-5770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 MEDICAL DR",
"city": "LAKEWAY",
"state": "TX",
"postal_code": "787344200",
"telephone_number": "512-263-4500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLAUSEN",
"first_name": "MADISYN",
"middle_name": "ELYSE",
"credential": "MS CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-09",
"last_updated": "2023-01-09",
"certification_date": "2023-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "118849",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SPEECH LANGUAGE PATHOLOGY LICENSE",
"identifier": "118849",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ASHA SPEECH PATHOLOGY CERTIFICATION",
"identifier": "14420518",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Lakeway, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.