COURTNEY BROADDUS (NPI# 1356588875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356588875 |
| Entity Type | Individual |
| Full Name | COURTNEY BROADDUS |
| Credential | M.S. |
| Practice Address |
7545 Bosque Blvd Waco TX 76712-3713 |
| Mailing Address |
Po Box 9090 Waco TX 76714-9090 |
| Practice Telephone | 2542351850 |
| Mailing Telephone | 2542351850 |
| Enumeration Date | 2009-01-21 |
| Last Update Date | 2009-01-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 104110 | TX | Speech, Language and Hearing Service Providers |
| Street Address |
7545 BOSQUE BLVD |
| City | WACO |
| State | TX |
| Zip Code | 76712-3713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801009733 | Theradat, LLC | Clinic/Center | 7545 Bosque Blvd, Waco, TX 76712-3713 | 2007-05-07 |
| 1225498785 | Kelley Homeyer | Speech-Language Pathologist | 7545 Bosque Blvd, Waco, TX 76712-3713 | 2016-02-26 |
| 1922326289 | Deborah Bainton | Occupational Therapist | 7545 Bosque Blvd, Waco, TX 76712-3713 | 2010-05-12 |
| 1972825214 | Elizabeth Tullis | Speech-Language Pathologist | 7545 Bosque Blvd, Waco, TX 76712-3713 | 2010-02-26 |
| 1457584161 | Jeanette Findley | Speech-Language Pathologist | 7545 Bosque Blvd, Waco, TX 76712-3713 | 2009-08-27 |
| 1043441959 | Kristle Coulter-soto | Speech-Language Pathologist | 7545 Bosque Blvd, Waco, TX 76712-3713 | 2009-07-28 |
| 1811127012 | Janet Sanker | Speech-Language Pathologist | 7545 Bosque Blvd, Waco, TX 76712-3713 | 2009-07-22 |
| 1245409994 | Jill Hammer | Specialist/Technologist | 7545 Bosque Blvd, Waco, TX 76712-3713 | 2008-02-27 |
| 1033390034 | Susan Steffek | Speech-Language Pathologist | 7545 Bosque Blvd, Waco, TX 76712-3713 | 2007-11-18 |
| 1821280454 | Leslie Rose | Speech-Language Pathologist | 7545 Bosque Blvd, Waco, TX 76712-3713 | 2007-08-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922634294 | Waco Ophthalmology, Pllc | Ophthalmology | 602 W Highway 6, Waco, TX 76712 | 2020-03-19 |
| 1326692872 | Oceans Behavioral Hospital of Waco LLC | Psychiatric Hospital | 5931 Crosslake Parkway, Waco, TX 76712 | 2019-08-01 |
| 1831759620 | Jessica Ngoc Vien | Optometrist | 1000 Hwy 6, Ste 210, Waco, TX 76712 | 2019-06-14 |
| 1780150888 | Chelsea Cannon | Occupational Therapist | 330 W State Hwy 6, Waco, TX 76712 | 2018-10-17 |
| 1669955399 | Elizabeth Ann Barnhill | Speech-Language Pathologist | 15003 Riatta Rd, Woodway, TX 76712 | 2018-09-09 |
| 1447731617 | Melanie A Melton | Physical Therapist | 300 West Highway 6, Waco, TX 76712 | 2018-08-27 |
| 1396226403 | Gala Kaye Czajkoski | Occupational Therapy Assistant | 300 West Hightway 6, Waco, TX 76712 | 2018-08-27 |
| 1619457454 | Monica Anderson | Physical Therapy Assistant | 300 W Hwy 6, Waco, TX 76712 | 2018-08-21 |
| 1295238368 | Waco Sn Opco LLC | Skilled Nursing Facility | 7501 Bagby, Waco, TX 76712 | 2018-03-14 |
| 1558872952 | C. Guy Fps, Pllc | Otolaryngology | 1129 Aberdeen Rd, Waco, TX 76712 | 2017-10-12 |
| Find all providers in zip 76712 | ||||
| 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 |
|---|---|---|---|---|
| 1457978488 | Marisela Devora | Speech-Language Pathologist | 700 S 4th St Apt 1114, Waco, TX 76706-1075 | 2020-06-25 |
| 1467932103 | Central Texas Therapy Spot Pllc | Speech-Language Pathologist | 6801 Sanger Ave Ste 105, Waco, TX 76710-7807 | 2018-08-21 |
| 1912418476 | Kathy Ann Whipple | Speech-Language Pathologist | 2100 Gorman Ave, Waco, TX 76707-2804 | 2017-10-23 |
| 1538670278 | Diane Peterson | Speech-Language Pathologist | 900 Washington Ave Ste 602, Waco, TX 76701-1283 | 2017-10-20 |
| 1932641263 | Melinda Hamm | Speech-Language Pathologist | 261 College Hill Rd, Waco, KY 40385-9715 | 2016-11-17 |
| 1912363326 | Tiffany R Thweatt | Speech-Language Pathologist | 900 Washington Ave Ste 240, Waco, TX 76701-1200 | 2016-01-14 |
| 1669743886 | Staci Marie Gohring | Speech-Language Pathologist | 6701 Sanger Avenue, Waco, TX 76710 | 2012-01-19 |
| 1366728149 | Marcia Deshazo Carter | Speech-Language Pathologist | 6610 N. Ih 35, Waco, TX 76705 | 2011-10-25 |
| 1427215730 | Shelley Lane Lowery | Speech-Language Pathologist | 2032 N Valley Mills Dr, Waco, TX 76710-2561 | 2008-05-22 |
| 1356519888 | Ronda C Lyles | Speech-Language Pathologist | 611 W Highway 6 Ste 115, Waco, TX 76710-7545 | 2008-02-19 |
| Find all providers in WACO | ||||
Please comment or provide details below to improve the information on COURTNEY BROADDUS.
| 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.