Active NPI
Hilary Jean Broussard, M.A. SLP-CCC
- Speech-Language Pathologist
- Hermitage, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 6202
- Practice address
- 4347 Lebanon Pike
Hermitage, TN 37076-1243 - Phone
- (615) 871-8200
- NPI assigned
- Jan 17, 2019
- Last updated
- Jan 17, 2019
- Sex
- Female
- Sole proprietor
- No
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 | 6202 | TN | Primary |
Addresses
Primary practice location
4347 Lebanon Pike
Hermitage, TN 37076-1243
Mailing address
210 30TH Ave N Apt 306
Nashville, TN 37203-1583
Phone (713) 315-7256
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 112638 | TX | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Empowerme Rehabilitation, LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Empowerme Rehabilitation, LLC | Speech-Language Pathologist | Current | Accepting new patients |
Locations
1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 287-3917
1501 W Campbell Rd
Garland, TX 75044
Phone (469) 609-9153
2300 Pool Rd
#G
Grapevine, TX 76051
Phone (833) 655-2840
4701 Ratcliffe Dr
Kyle, TX 78640
Phone (512) 920-4600
2760 W Walker St
League City, TX 77573
Phone (281) 967-7973
2022 Highway 46 W
New Braunfels, TX 78132
Phone (830) 743-9324
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.
-
- Multi-Specialty Clinic/Center
- Dallas, TX
- NPI 1255900296
Speech-Language Pathologist
-
- Multi-Specialty Clinic/Center
- Williamsburg, VA
- NPI 1881366730
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547683200000",
"number": "1669946158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 30TH AVE N APT 306",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372031583",
"telephone_number": "713-315-7256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4347 LEBANON PIKE",
"city": "HERMITAGE",
"state": "TN",
"postal_code": "370761243",
"telephone_number": "615-871-8200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROUSSARD",
"first_name": "HILARY",
"middle_name": "JEAN",
"credential": "M.A. SLP-CCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-17",
"last_updated": "2019-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TN",
"license": "6202",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hermitage, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.