Hilary Jean Broussard – Speech-Language Pathologist

Key facts

NPI: 1669946158
Entity type: Individual (NPI type 1)
Primary specialty: Speech-Language Pathologist 235Z00000X
License: 6202 (TN)
Practice address: 4347 Lebanon Pike
Hermitage, TN 37076-1243
Phone: (615) 871-8200
NPI assigned: Jan 17, 2019
Sex: Female
Sole proprietor: No

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.

Empowerme Rehabilitation, LLC Multi-Specialty Clinic/Center · Dallas, TX · NPI 1255900296

Medicare reassignment NPD SPEECH-LANGUAGE PATHOLOGIST · TX
Empowerme Rehabilitation, LLC Multi-Specialty Clinic/Center · Williamsburg, VA · NPI 1881366730

NPD SPEECH-LANGUAGE PATHOLOGIST

Medicare participation

Medicare fee-for-service enrollment: Enrolled in TX

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20231221001445	TX	Practitioner - Qualified Speech Language Pathologist	4789034414	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes
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 since Nov 22, 2023	Accepting new patients
Empowerme Rehabilitation, LLC	Speech-Language Pathologist	Current since Nov 22, 2023	Accepting new patients

Locations

1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723

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 State Highway 46 W
New Braunfels, TX 78132
Phone (830) 743-9324

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Speech-Language Pathologist	235Z00000X	6202	TN	Yes

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

Other providers in Hermitage, TN

All providers in Hermitage, TN · Speech-Language Pathologist in Tennessee

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 17, 2019. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.