Randi M. Broyles

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

29 Issued in AK

Practice address

35105 Kenai Spur Hwy
Suite a
Soldotna, AK 99669-7621

Phone

(907) 260-7400

Fax

(907) 260-7444

NPI assigned

Feb 14, 2011

Last updated

Feb 14, 2011By the provider in NPPES

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

State licenses

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

{
    "created_epoch": "1297641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297641600000",
    "number": "1285931048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35105 KENAI SPUR HWY",
            "address_2": "SUITE A",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996697621",
            "telephone_number": "907-260-7400",
            "fax_number": "907-260-7444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35105 KENAI SPUR HWY",
            "address_2": "SUITE A",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996697621",
            "telephone_number": "907-260-7400",
            "fax_number": "907-260-7444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROYLES",
        "first_name": "RANDI",
        "middle_name": "M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-14",
        "last_updated": "2011-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "AK",
            "license": "29",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molly Eileen Broussard
• Darlene K Brown, DO
• Gene George Brown
• Kenneth Harrison Browne Jr.
• Joseph Ryan Browning
• Phillip Bruce, PTA
• Kimberly K Brusven
• Shari Le Bryant-Conner, CDCI, NCACI
• Shae Le Kathleen Bryant
• Carole Buchholz

• Speech-Language Assistant in Soldotna, AK
• Providers in Soldotna, AK by specialty
• Speech-Language Assistant in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2011; 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.