Look up the most recent NPI and PECOS records

Kathryn E. Broadbent

Speech-Language Pathologist

Speech, Language and Hearing Service Providers

PECOS Enrollment

Based on the most recent information from CMS, provider Kathryn E. Broadbent does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 3:51 PM.

Profile Details

Provider ID
1689899569
Provider Type
Individual
Full Name
Broadbent, Kathryn E.
Credential
SP

Gender
Female
Sole Proprietor
No
Enumeration Date
4/16/2007
Last Updated
1/5/2024

Contact Information

Practice Location

53 Caleb St, Portland, ME 04102-2235

(207) 939-7162

Unlisted Fax

Mailing Location

53 Caleb St, Portland, ME 04102-2235

(207) 939-7162

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 235Z00000X Primary	Description Speech-Language Pathologist Speech, Language and Hearing Service Providers	License SP1827 Maine

Provider Identifiers

ID	Description	Issuer
ID 102560200	Description Medicaid	Issuer Unlisted Maine
ID 433023799	Description Other	Issuer MAINE CARE Maine

Kathryn E. Broadbent

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

Heins, Kayla Marlise

Halligan, Carlene

Kleffke, Sarah

Rubio, Tessa

Mooradian, Grace Elizabeth

Hyde, Stephanie Hayden

Milioto, Virginia

Petersen, Meredith Leigh

Livengood, James

Newman, Ariel Fremed