MRS. KATIE BROOM (M.A. CCC-SLP) – Speech-Language Pathologist, NPI 1003307547
Speech-Language Pathologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
635 QUALIFIED SPEECH LANGUAGE PATHOLOGIST in TX
Provider Addresses for MRS. KATIE BROOM (M.A. CCC-SLP)
PO BOX 166
HALLETTSVILLE, TX 779640166
Phone: (361) 210-7366
Fax: (361) 799-5001
Type: Mailing
107 S JUDY ST
HALLETTSVILLE, TX 779643223
Phone: (361) 210-7366
Fax: (361) 799-5001
Type: Location
109 Shult Dr
Columbus, TX 789343009
Phone: (361) 210-7366
Fax: (361) 799-5001
Type: Location
711 N Avenue D
Shiner, TX 779845210
Phone: (361) 210-7366
Fax: (361) 799-5001
Type: Location
1101 E Airline Rd
Victoria, TX 779014000
Phone: (361) 210-7366
Fax: (361) 799-5001
Type: Location
15820, Addison Road, Addison, Dallas County, Texas, 75001, United States
ADDISON, TX 750013549
Phone: (214) 575-2999
Fax: (972) 364-1256
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2021-10-27
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20211027000425 | I | Qualified Speech Language Pathologist | TX | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 77964)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Qualified Speech Language Pathologist | TX |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.