KRISTA BROOM
NPI 1457604753
Speech-Language Pathologist in Lubbock, TX

Active since October 24, 2012
6202 IOLA AVE, SUITE 109, LUBBOCK, TX 79424(800) 340-4098(817) 789-6849 Get Directions Write a Review

NPPES record last updated: October 24, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Krista Broom NPPES

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

KRISTA BROOM (NPI 1457604753) is an individual speech-language pathologist provider in Lubbock, Texas, licensed in Texas (37239) and active in the NPI registry since October 2012.

NPPES Registry Identity

NPI1457604753
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameKRISTA BROOM
Location Address6202 IOLA AVE, SUITE 109Lubbock, TX 79424-2728
Mailing Address5316 Trail Lake DrFort Worth, TX 76133-1931 · (817) 292-8787 · Fax (817) 789-6849
Fax(817) 789-6849
Sole ProprietorYes
Enumeration DateOctober 24, 2012
NPI 1457604753 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
License Licensed in TX · 37239
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.
6202 IOLA AVE, Lubbock, TX 79424

Other Identifiers 4

Medicaid207164901TX
Medicare PIN676535TX
Medicaid149984001TX
Medicare PIN456606TX

Other Providers at the Same Location NPPES 10

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

Counselor (Professional)
6202 IOLA AVE, SUITE 103
LUBBOCK, TX 79424
Counselor (Mental Health)
6202 IOLA AVE
LUBBOCK, TX 79424
Psychologist (School)
6202 IOLA AVE
LUBBOCK, TX 79424
Counselor (Mental Health)
6202 IOLA AVE
LUBBOCK, TX 79424
Counselor (Professional)
6202 IOLA AVE
LUBBOCK, TX 79424
Speech-Language Pathologist
6202 IOLA AVE, SUITE 109
LUBBOCK, TX 79424
Preferred Provider Organization
6202 IOLA AVE, SUITE #128
LUBBOCK, TX 79424
Counselor (Mental Health)
6202 IOLA AVE
LUBBOCK, TX 79424

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 Krista Broom's NPI number?

The NPI number for Krista Broom is 1457604753. It was assigned to this individual provider in the NPPES registry on October 24, 2012.

Where is Krista Broom located?

Krista Broom practices at 6202 Iola Ave Suite 109, Lubbock, TX 79424. The listed phone number is (800) 340-4098.

What is Krista Broom's specialty?

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

When was this NPI record last updated?

The NPPES record for Krista Broom was last updated on October 24, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.