MRS. KATIE JOHNSON BROYLES (NPI# 1497291918) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497291918 |
| Entity Type | Individual |
| Full Name | MRS. KATIE JOHNSON BROYLES |
| Credential | M.S. CCC-SLP |
| Practice Address |
1110 Marshall Rd Greenwood SC 29646-4216 |
| Mailing Address |
2237 Trinity Rd Troutville VA 24175-6856 |
| Practice Telephone | 8882986222 |
| Mailing Telephone | 5407972544 |
| Enumeration Date | 2017-01-08 |
| Last Update Date | 2017-01-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 2202007043 | VA | Speech, Language and Hearing Service Providers |
| Street Address |
1110 MARSHALL RD |
| City | GREENWOOD |
| State | SC |
| Zip Code | 29646-4216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598760456 | Wesley Commons | Skilled Nursing Facility | 1110 Marshall Rd, Greenwood, SC 29646 | 2005-06-16 |
| 1821560228 | Troy Lewis | Physical Therapist | 1110 Marshall Rd, Greenwood, SC 29646-4216 | 2018-12-23 |
| 1326515727 | Jenevieve Lackey | Physical Therapist | 1110 Marshall Rd, Greenwood, SC 29646-4216 | 2018-10-24 |
| 1962922039 | Gait Medical LLC | Podiatrist | 1110 Marshall Rd, Wellness Center-podiatry, Greenwood, SC 29646 | 2017-06-21 |
| 1356598593 | Providence Foot & Ankle Centers PC | Podiatrist | 1110 Marshall Rd, Wellness Center, Greenwood, SC 29646-4216 | 2008-08-19 |
| 1427267970 | Connie Elaine Burkhalter | Occupational Therapy Assistant | 1110 Marshall Rd, Greenwood, SC 29646-4216 | 2007-05-22 |
| 1609085166 | Aubrey Elizabeth Shields | Occupational Therapist | 1110 Marshall Rd, Greenwood, SC 29646-4216 | 2007-05-22 |
| 1518185479 | Dortlies Helene Releford | Rehabilitation Practitioner | 1110 Marshall Rd, Greenwood, SC 29646-4216 | 2007-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114535416 | Supriya Lal | Dietitian, Registered | 303 Parkwood Rd, Greenwood, SC 29646 | 2020-07-22 |
| 1174158406 | Mara L Schwartz | Registered Nurse | 1226 Spring St., Diabtes Education Department, Greenwood, SC 29646 | 2020-03-06 |
| 1487213724 | Greater Greenwood United Ministry | Family Medicine | 1404 Edgefield Street, Greenwood, SC 29646 | 2019-06-11 |
| 1346747995 | Kelli Diane Clune | Nurse Practitioner | 115 E Alexander Ave, Greenwood, SC 29646 | 2018-04-10 |
| 1184150112 | Sanquinette Sanders Brownlee | Nurse Practitioner | 929 Phoenix Stret, Clinica Gratis, Greenwood, SC 29646 | 2017-05-11 |
| 1194258426 | Kimberley Lovejoy | Assistant Behavior Analyst | 210a Birchtree, Greenwood, SC 29646 | 2017-04-04 |
| 1427590900 | Rejuvenation Massage By Frances | Clinic/Center | 610 Chace Avenue, Greenwood, SC 29646 | 2016-11-15 |
| 1932651643 | Hayley Smith | Counselor | 110 Court Ave W, Greenwood, SC 29646 | 2016-10-28 |
| 1942757927 | Towanda Morton | Community Health Worker | 303 Suite B South Main Street, Greenwood, SC 29646 | 2016-09-07 |
| 1770039976 | Bragan Mace | Pharmacist | 1376 South Main St., Greenwood, SC 29646 | 2016-08-28 |
| Find all providers in zip 29646 | ||||
| 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 |
|---|---|---|---|---|
| 1811511413 | Kennyatta Gilchrist | Speech-Language Pathologist | 102 Rhett Ct, Greenwood, SC 29649-2272 | 2020-05-31 |
| 1528612629 | Whitney Elayne Hull | Speech-Language Pathologist | 685 Grassy Bend Dr, Greenwood, IN 46143-9827 | 2019-07-26 |
| 1366001455 | Adams Therapy LLC | Speech-Language Pathologist | 1530 W Center St Ste 3, Greenwood, AR 72936-3400 | 2019-06-11 |
| 1023585320 | Sara Reddington | Speech-Language Pathologist | 1701 Library Blvd Ste C, Greenwood, IN 46142-1567 | 2018-10-25 |
| 1962983726 | Lauren Mau | Speech-Language Pathologist | 1576 Lake Point Ln N, Greenwood, IN 46142-2128 | 2018-08-28 |
| 1457830291 | Stephanie Dixon | Speech-Language Pathologist | 1075 Bypass 25 Ne, Greenwood, SC 29649 | 2018-08-13 |
| 1285143958 | Farah Mardanzai | Speech-Language Pathologist | 2922 Heirloom Ln, Greenwood, IN 46143-6667 | 2017-09-26 |
| 1952857575 | Hayley Van Buskirk | Speech-Language Pathologist | 170 Love Ave, Apt K, Greenwood, IN 46142-2155 | 2016-09-01 |
| 1528511292 | Loren Crisp | Speech-Language Pathologist | 916 Kings Mill Rd, Apt. 823, Greenwood, IN 46142-1732 | 2016-07-29 |
| 1588019988 | Jessica Lynn Osborne | Speech-Language Pathologist | 1701 Library Park Blvd, Greenwood, IN 46142 | 2016-05-04 |
| Find all providers in GREENWOOD | ||||
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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.