Active NPI
Faith Ann Broder, MA,CCC,SLP
- Speech-Language Pathologist
- Lexington, NC
National Provider Identifier
1427361054
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 10594
- Practice address
- 440 Central Ave
Lexington, NC 27292-2634 - Phone
- (336) 236-6546
- Fax
- (336) 236-9546
- NPI assigned
- Jul 25, 2010
- Last updated
- Nov 6, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 10594 | NC | Primary |
Addresses
Primary practice location
440 Central Ave
Lexington, NC 27292-2634
Mailing address
440 Central Ave
Lexington, NC 27292-2634
Phone (336) 236-6546
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10594 | NC | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ot4 Kids, Inc | Multi-Specialty | Past | Accepting new patients |
| Ot4Kids, Inc. | Multi-Specialty | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762387200000",
"number": "1427361054",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "440 CENTRAL AVE",
"city": "LEXINGTON",
"state": "NC",
"postal_code": "272922634",
"telephone_number": "336-236-6546",
"fax_number": "336-236-9546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "440 CENTRAL AVE",
"city": "LEXINGTON",
"state": "NC",
"postal_code": "272922634",
"telephone_number": "336-236-6546",
"fax_number": "336-236-9546"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRODER",
"first_name": "FAITH",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "MA,CCC,SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-07-25",
"last_updated": "2025-11-06",
"certification_date": "2025-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "10594",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lexington, NC
- Brian Center Drive Operating Company, LLC (Pine Acres Center for Nursing and Rehabilitation)
- Bridge It
- Marianne Pring Broadway, LPC, LCAS
- Kaitlyn Elyse Batt Brodar, PHD
- Steven John Brodar, D.C.
- Brookstone Retirement Ctr.,LLC.
- Joanne Brown, COTA/L
- Michael Osborne Brown, M.D.
- Katelyn Shelton Bruff, COTA/L
- Matthew David Bryant, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.