KATIE REBECCA BROADWELL MS, CCC-SLP
NPI 1639693260
Speech-Language Pathologist in Knoxville, TN

Q: What is Katie Broadwell's NPI number?

The NPI number for Katie Broadwell is 1639693260. It was assigned to this individual provider in the NPPES registry on July 25, 2017.

Q: What is Katie Broadwell'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 Katie Broadwell was last updated on November 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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 July 25, 2017Accepts Medicare Assignment

2929 TAZEWELL PIKE, KNOXVILLE, TN 37918(615) 614-8833(502) 805-1511 Get Directions Write a Review

NPPES record last updated: November 6, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 6, 2024, Jul 25, 2017 (2 updates tracked since 2017).

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About Katie Rebecca Broadwell Ms, Ccc-slp NPPES

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

KATIE REBECCA BROADWELL MS, CCC-SLP (NPI 1639693260) is an individual speech-language pathologist provider in Knoxville, Tennessee, licensed in Tennessee (8942) and active in the NPI registry since July 2017. She maintains a secondary practice location in Durham and is a graduate of Other (2016).

NPPES Registry Identity

NPI1639693260

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameKATIE REBECCA BROADWELLCredential: MS, CCC-SLP

Location Address2929 TAZEWELL PIKEKnoxville, TN 37918-1874

Mailing AddressDept Of Speech Pathology & Audiology, Box 3887-dumcDurham, NC 27710

Phone(615) 614-8833

Fax(502) 805-1511

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateJuly 25, 2017

Last NPPES UpdateNovember 6, 20242 updates tracked since enumeration

NPPES CertifiedNovember 6, 2024

✔ NPI 1639693260 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

Licenses✔ Licensed in TN · 8942✔ Licensed in NC · 12375

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.

2929 TAZEWELL PIKE, Knoxville, TN 37918

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Secondary Practice Location 1

Location 1Dept Of Speech Pathology & Audiology Duke CirDurham, NC 27710-0001 · Phone (919) 684-6271

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Katie Rebecca Broadwell Ms, Ccc-slp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5991113722

PECOS Enrollment IDI20250305000626

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.

CAYLEE WALKER

Speech-Language Pathologist