1. Home
  2. Directory
  3. North Carolina
  4. Winston Salem
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

KEYANNA TIARRA ROUSSEAU
NPI 1356018642
Student in an Organized Health Care Education/Training Program in Winston Salem, NC

Active since August 25, 2021
3936 OGBURN AVE, WINSTON SALEM, NC 27105(336) 989-6235 Get Directions Write a Review

NPPES record last updated: August 25, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Keyanna Tiarra Rousseau NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEYANNA TIARRA ROUSSEAU (NPI 1356018642) is an individual student in an organized health care education/training program in Winston Salem, North Carolina and active in the NPI registry since August 2021.

NPPES Registry Identity

NPI1356018642
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKEYANNA TIARRA ROUSSEAU
Location Address3936 OGBURN AVEWinston Salem, NC 27105-3758
Mailing Address3936 Ogburn AveWinston Salem, NC 27105-3758 · (336) 989-6235
Phone(336) 989-6235
Sole ProprietorNo
Enumeration DateAugust 25, 2021
NPPES CertifiedAugust 5, 2021
✔ NPI 1356018642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3936 OGBURN AVE, Winston Salem, NC 27105
Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keyanna Rousseau's NPI number?

The NPI number for Keyanna Rousseau is 1356018642. It was assigned to this individual provider in the NPPES registry on August 25, 2021.

Where is Keyanna Rousseau located?

Keyanna Rousseau practices at 3936 Ogburn Ave, Winston Salem, NC 27105. The listed phone number is (336) 989-6235.

What is Keyanna Rousseau's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Keyanna Rousseau was last updated on August 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.