Sandra Kaye Broderway, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

3157 Issued in AL

Practice address

5112 Shamrock Dr
Helena, AL 35080-3390

Phone

(844) 687-5465

NPI assigned

Oct 4, 2019

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• National Teletherapy Resources, a Speech Pathology Corp.

  • Speech-Language Pathologist
  • Oakland, CA
  • NPI 1073155040
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1570147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570147200000",
    "number": "1013558600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 58",
            "city": "HELENA",
            "state": "AL",
            "postal_code": "350800058",
            "telephone_number": "844-687-5465",
            "fax_number": "844-687-5465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5112 SHAMROCK DR",
            "city": "HELENA",
            "state": "AL",
            "postal_code": "350803390",
            "telephone_number": "844-687-5465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRODERWAY",
        "first_name": "SANDRA",
        "middle_name": "KAYE",
        "name_prefix": "Mrs.",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-04",
        "last_updated": "2019-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AL",
            "license": "3157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• BHC - Helena
• Donna Kay Boyd, ATC / LAT
• Travis Chance Boyd, ALC
• April Brasher, CRNP
• Judi Braswell, LPC
• Romonda Joi Brown, M.S., CCC-SLP
• Amber Lynn Bunch
• Jessica Bush, RDN, LD, MPH
• Melinda Louise Calligan, LICSW
• Darcie Carlson, PHARMD

• All providers in Helena, AL
• Speech-Language Pathologist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.