Bethany Lynn Broekema
NPI 1588179519ActiveIndividual· Speech-Language Pathologist· Vista, CA
Speech-Language Pathologist in Vista, California, with an NPI issued in December 2017.
Overview
| NPI | 1588179519 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Dec 13, 2017 |
| Last updated in NPPES | Jan 11, 2022 |
| Certified by provider | Jan 7, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X | — | CA |
| Behavior Technician | 106S00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other speech-language pathologists in Vista
- 1205666146
- 1386442507
- 1508323403
- 1699505636
- 1437000122
- 1316484777
- 1417182361
- 1932719358
- 1619048949
- 1609376375
- 1194976241
- 1215553060
All 24 speech-language pathologists in Vista · All speech-language pathologists in California