Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1588179519 Individual Practitioner Female Practitioner

Bethany Lynn Broekema

Speech-Language Pathologist • Vista, CA

Professional Overview & Biography Verified Profile Summary

Bethany Broekema is a registered healthcare professional specializing in Speech-Language Pathologist in Vista, CA. Practice services are available at 911 HACIENDA DR STE B under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

911 Hacienda Dr Ste B

Vista, CA 920816503

Telephone 7602166942
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Vista, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
20 Specialists

Practicing in Vista, CA (13280 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-01-07
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Behavior Technician

NUCC Taxonomy Code: 106S00000X

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Bergen Benedict

Occupational Therapist

NPI 1093571978
Karla Mesta

Speech-Language Pathologist

NPI 1104476415
Hannah Daniels

Clinic/Center - Rehabilitation

NPI 1205502465
Brooke Mehus

Occupational Therapist

NPI 1902599848
Christina Tossell

Speech-Language Pathologist

NPI 1982487500

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
📍
Updated Practice Location January 11, 2022

Registered at 911 HACIENDA DR STE B, VISTA, CA 920816503 (Tel: 7602166942)

📍
Updated Business Mailing Address January 07, 2022

Registered at 911 HACIENDA DR, VISTA, CA 920816407 (Tel: 7602166942)

📍
Updated Practice Location April 18, 2018

Registered at 150 SUTTER ST UNIT 120, SAN FRANCISCO, CA 941049004 (Tel: 8582576027)

NPI Profile Active February 06, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location February 06, 2018

Registered at 13627 POWAY SPRINGS RD, POWAY, CA 920642228 (Tel: 8582576027)

📍
Updated Business Mailing Address February 06, 2018

Registered at 12580 OAK KNOLL RD APT F15, POWAY, CA 920645499 (Tel: 7605326333)

👤
Provider Name / Credentials Updated February 06, 2018

Recorded as BETHANY BROEKEMA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 06, 2018

Behavior Technician

NPI Profile Active December 13, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location December 13, 2017

Registered at 13627 POWAY SPRINGS RD, POWAY, CA 920642228 (Tel: 8582576027)

📍
Updated Business Mailing Address December 13, 2017

Registered at 12580 OAK KNOLL RD APT F15, POWAY, CA 920645499 (Tel: 7605326333)

👤
Provider Name / Credentials Updated December 13, 2017

Recorded as BETHANY SMITH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 13, 2017

Behavior Technician

🟢
Initial NPI Registration & Enumeration December 13, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1588179519
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 13, 2017
Last Update: January 11, 2022
Sole Proprietor: No

Mailing Address

911 Hacienda Dr

Vista, CA 920816407

Phone: 7602166942

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.