Amber Dawn Broadway, MCD, CFY-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP2810 Issued in AR

Practice address

84 Woodland Hill Circle
Pocahontas, AR 72455

Phone

(870) 243-3522

NPI assigned

Aug 10, 2009

Last updated

Apr 12, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Amber D Hudson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1249862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712880000000",
    "number": "1083846059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 WOODLAND HILL CIRCLE",
            "city": "POCAHONTAS",
            "state": "AR",
            "postal_code": "72455",
            "telephone_number": "870-243-3522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 WOODLAND HILL CIRCLE",
            "city": "POCAHONTAS",
            "state": "AR",
            "postal_code": "72455",
            "telephone_number": "870-243-3522"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "410 Camp Rd",
            "address_purpose": "LOCATION",
            "city": "Pocahontas",
            "state": "AR",
            "postal_code": "724551487",
            "country_code": "US",
            "telephone_number": "870-892-0027",
            "fax_number": "870-829-7945",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROADWAY",
        "first_name": "AMBER",
        "middle_name": "DAWN",
        "credential": "MCD, CFY-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-10",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "SP2810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMBER",
            "last_name": "HUDSON",
            "middle_name": "D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kyla Brandt, OTA
• Vivian Lea Brengard, R.D.
• Skyler N Brewer, LCSW
• Holly T Brigance, APRN-BC
• Teresa Ann Britt, M.C.D., C.C.C.-SLP
• Christy A Broadway
• Justin Broadway, PHARMD
• Alison Brooks, MHPP
• Kaleb Jarrett Brown, PT
• Kaylin Brown, OTR/L

• Speech-Language Pathologist in Pocahontas, AR
• Providers in Pocahontas, AR by specialty
• Speech-Language Pathologist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2024; 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.