Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Katie Rebecca Broadwell, MS, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1639693260

Katie Rebecca Broadwell, MS, CCC-SLP is a Qualified Speech Language Pathologist in Knoxville, Tennessee. Qualified in 2016, 10 years ago. Practices with Healthpro Heritage Rehab and Fitness LLC, a 990-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina and Tennessee.

Years since qualifying
10
Licensed in
NC, TN
In the registry since
2017
Specialties on file
2
What do these letters mean?
MS — Master of Science
A graduate science degree.
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

2929 Tazewell Pike
Knoxville, TN 37918-1874
Phone: (615) 614-8833
Fax: (502) 805-1511
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • Dept Of Speech Pathology & Audiology Duke Cir, Durham, NC 27710-0001 — (919) 684-6271

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 8942 (TN)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 12375 (NC)

Record details

NPI number1639693260
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , CCC-SLP
Sole proprietorNo
NPI enumeratedJuly 25, 2017
Last updated in NPPESNovember 6, 2024
Certification dateNovember 6, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Healthpro Heritage Rehab And Fitness Llc — 990 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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