Katie Rebecca Broadwell, MS, CCC-SLP
NPI 1639693260ActiveIndividual· Speech-Language Pathologist· Knoxville, TN
Speech-Language Pathologist (MS, CCC-SLP) with Healthpro Heritage Rehab and Fitness LLC, practicing in Knoxville, Tennessee. Enrolled in Medicare as practitioner - qualified speech language pathologist.
Overview
| NPI | 1639693260 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MS, CCC-SLP |
| Sole proprietor | No |
| NPI issued | Jul 25, 2017 |
| Last updated in NPPES | Nov 6, 2024 |
| Certified by provider | Nov 6, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X | 8942 | TN |
| Speech-Language Pathologist | 235Z00000X | 12375 | NC |
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) | Enrolled Practitioner - Qualified Speech Language Pathologist (TN) |
|---|
Education and affiliations
| Graduation year | 2016 |
|---|---|
| Medicare specialty | Qualified Speech Language Pathologist |
Medical group
- Healthpro Heritage Rehab and Fitness LLCKingwood, TX · 969 clinicians
Other speech-language pathologists in Knoxville
- 1003963588
- 1053095646
- 1093324261
- 1144842501
- 1154860211
- 1174416986
- 1194306241
- 1194871939
- 1275105488
- 1295180024
- 1295626448
- 1386570406
All 599 speech-language pathologists in Knoxville · All speech-language pathologists in Tennessee