Individual provider Active NPI

Brooke Lombaard, SLP-CCC

  • Speech-Language Pathologist
  • Pompano Beach, FL
National Provider Identifier
1447818703
Registry record updated Jun 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
16586 Issued in FL
Practice address
1955 N Federal Hwy Unit 253
Pompano Beach, FL 33062-1036
Phone
(954) 580-2520
NPI assigned
Jun 3, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 16586 FL Primary

Addresses

Primary practice location

1955 N Federal Hwy Unit 253
Pompano Beach, FL 33062-1036

Mailing address

3999 Coral Heights Way
Fort Lauderdale, FL 33308-5225
Phone (954) 756-1003

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

State licenses

LicenseStateTypeSpecialty
16586FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Kids Speech, Physical, and Occupational Therapy, Inc Speech-Language Pathologist Past Accepting new patients
Kids Speech,Physical, and Occupational Therapy, Inc Speech-Language Pathologist 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1559520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559520000000",
    "number": "1447818703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3999 CORAL HEIGHTS WAY",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333085225",
            "telephone_number": "954-756-1003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1955 N FEDERAL HWY UNIT 253",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330621036",
            "telephone_number": "954-580-2520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOMBAARD",
        "first_name": "BROOKE",
        "credential": "SLP-CCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-03",
        "last_updated": "2019-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "16586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.