KATHRYN BRODERICK (NPI# 1063916005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063916005 |
| Entity Type | Individual |
| Full Name | KATHRYN BRODERICK |
| Practice Address |
15 Hospital Dr York ME 03909-1099 |
| Practice Telephone | 2073634321 |
| Practice Fax Number | 2073512216 |
| Mailing Telephone | 2073512478 |
| Mailing Fax Number | 2073512216 |
| Enumeration Date | 2018-03-23 |
| Last Update Date | 2018-03-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | ST2783 | ME | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | LICENSE | ST2783 | 01 |
| Street Address |
15 HOSPITAL DR |
| City | YORK |
| State | ME |
| Zip Code | 03909-1099 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740280031 | Charlotte S. Greene | Physician Assistant | 15 Hospital Dr, York, ME 03909-1011 | 2005-07-28 |
| 1629626932 | Rebekah Hodson | Occupational Therapist | 15 Hospital Dr, York, ME 03909-1099 | 2019-08-29 |
| 1013562602 | Megan Burns | Physical Therapist | 15 Hospital Dr, York, ME 03909-1099 | 2019-08-09 |
| 1679043046 | Consuelo Elder | Pharmacist | 15 Hospital Dr, York, ME 03909-1099 | 2018-11-28 |
| 1699240242 | Nancie Mccard | Pharmacist | 15 Hospital Dr, York, ME 03909-1011 | 2018-10-10 |
| 1447739180 | Valerie Dupill | Pharmacist | 15 Hospital Dr, York, ME 03909-1011 | 2018-08-13 |
| 1598255770 | Joanna Corcoran | Midwife | 15 Hospital Dr, York, ME 03909-1011 | 2018-05-14 |
| 1144732058 | Stephanie Rebecca Gonsalves | Physician Assistant | 15 Hospital Dr, York, ME 03909-1011 | 2017-11-01 |
| 1316480841 | Katherine Leonard | Physical Therapist | 15 Hospital Dr, York, ME 03909-1011 | 2016-12-01 |
| 1619419231 | Daniel Layton | Registered Nurse | 15 Hospital Dr, York, ME 03909-1011 | 2016-11-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588206049 | Kristina Nicole Scangas | Physician Assistant | 3 Loving Kindness Way, York, ME 03909 | 2019-10-16 |
| 1467923540 | St. Georges Childcare Center | Clinic/Center | 407 York Street, York Harbor, ME 03909 | 2018-12-16 |
| 1518398023 | Jm Dental PC | Dentist | 433 F Us Route 1, Suite 107, York, ME 03909 | 2013-12-09 |
| 1043554405 | Jennifer Helen Gustafson | Occupational Therapist | 3 Whittier Way, York, ME 03909 | 2012-11-24 |
| 1720351240 | Kimberly Trafton | Acupuncturist | 272 York Street, York, ME 03909 | 2012-02-14 |
| 1518237767 | Jill Ann Colton-spina | Registered Nurse | 32 York Street, Psychiatry Associates of York Hospital, York, ME 03909 | 2012-01-05 |
| 1497980650 | York Family Dental | Dentist | 433f Us Route 1, Cottage Place Suite 107, York, ME 03909 | 2009-05-18 |
| 1356590947 | Susan A. Emerson | Occupational Therapist | 41 Brixham Rd., York, ME 03909 | 2008-09-18 |
| 1316122252 | John Wendelin Anderer | Dentist | 433 F Us Route 1 Cottage Place John Anderer D.d.s., 107, York, ME 03909 | 2008-01-09 |
| 1720296486 | Town of York/york School Department | Local Education Agency (LEA) | 469 U.S. Route One, York, ME 03909 | 2007-05-18 |
| Find all providers in zip 03909 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467084244 | Erika Lorena Amaya-rojas | Speech-Language Pathologist | 920 S Royal St, York, PA 17402-3527 | 2020-02-10 |
| 1255963237 | Trellis Pediatric Therapy LLC | Speech-Language Pathologist | 2507 Locust Hill Rd, York, SC 29745-9698 | 2020-02-07 |
| 1275018194 | Alyssa Devane | Speech-Language Pathologist | 1543 Chester Hwy, York, SC 29745-2188 | 2018-09-26 |
| 1720561277 | Molly Walsh | Speech-Language Pathologist | 1275 Crescent Rd, York, PA 17402-9114 | 2018-09-11 |
| 1275016917 | Laura Anne Wanenchak | Speech-Language Pathologist | Genesis Rehab Services, 2760 Pine Grove Road, York, PA 17403 | 2018-09-10 |
| 1588141493 | Austin Wright | Speech-Language Pathologist | 4155 Stone Run Dr, York, PA 17402-3328 | 2018-07-24 |
| 1255853289 | Jalissa Ann Jacobs | Speech-Language Pathologist | 2481 Sunset Ln, York, PA 17408-4205 | 2017-07-12 |
| 1770036386 | Ellyse Pollack | Speech-Language Pathologist | 1801 Shawan Ln, York, PA 17406-6610 | 2016-07-31 |
| 1144673666 | Katherine Michelle Smith | Speech-Language Pathologist | 2301 Sunset Ln, York, PA 17408-4336 | 2016-07-20 |
| 1952770075 | Anna B Lifvergren | Speech-Language Pathologist | 14 Southside Rd, York, ME 03909-5117 | 2015-09-18 |
| Find all providers in YORK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.