SHANNON NICOLE BRODERICK
NPI 1447750351
Speech-Language Pathologist in Virginia Beach, VA

Q: What is Shannon Broderick's NPI number?

The NPI number for Shannon Broderick is 1447750351. It was assigned to this individual provider in the NPPES registry on February 16, 2018.

Q: What is Shannon Broderick's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Q: When was this NPI record last updated?

The NPPES record for Shannon Broderick was last updated on July 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since February 16, 2018

4668 PEMBROKE BLVD STE 115, VIRGINIA BEACH, VA 23455(757) 932-4261 Get Directions Write a Review

NPPES record last updated: July 10, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 10, 2020, Feb 16, 2018 (2 updates tracked since 2018).

On this page

About Shannon Nicole Broderick NPPES

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

SHANNON NICOLE BRODERICK (NPI 1447750351) is an individual speech-language pathologist provider in Virginia Beach, Virginia and active in the NPI registry since February 2018. She maintains a secondary practice location in Navarre.

NPPES Registry Identity

NPI1447750351

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameSHANNON NICOLE BRODERICK

Location Address4668 PEMBROKE BLVD STE 115Virginia Beach, VA 23455-6423

Mailing Address1377 Motor Pkwy Ste 307Islandia, NY 11749-5258 · (631) 580-5200

Phone(757) 932-4261

Sole ProprietorYes

Enumeration DateFebruary 16, 2018

Last NPPES UpdateJuly 10, 20202 updates tracked since enumeration

NPPES CertifiedJuly 10, 2020

✔ NPI 1447750351 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers

Taxonomy Code235Z00000X

Definition

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.

4668 PEMBROKE BLVD STE 115, Virginia Beach, VA 23455

Open in Google Maps ↗

Secondary Practice Location 1

Location 17552 Navarre Pkwy Unit 32Navarre, FL 32566-7308 · Phone (850) 939-3944

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LINDSEY PAULEY

Physical Therapist