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Deactivated NPI 1710590526 Deactivated / Inactive NPI Female Practitioner

Rebecca Broussard

Speech-Language Pathologist • Irving, TX

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Rebecca Broussard has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 31, 2020
NPI Deactivation Date December 12, 2024
Total Practice Duration ~4 Years of Practice (2020 – 2024)

Professional Overview & Biography Verified Profile Summary

Rebecca Broussard was a registered Speech-Language Pathologist practicing in Irving, TX. Throughout an active medical career spanning 4 years, Rebecca Broussard provided care at the practice location at 1431 GREENWAY DR STE 500 until profile deactivation on 2024-12-12.

Practice Location & Contact Primary Location

Practice Address

1431 Greenway Dr Ste 500

Irving, TX 750382444

Telephone 8558326727
Associated Practice Facility / Clinic
🏢 Positive Behavior Supports Facility NPI 1700024296

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Irving, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.3 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
206 Specialists

Practicing in Irving, TX (17210 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: 2025-02-07
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License TX 121175

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.

Technician, Other

NUCC Taxonomy Code: 247200000X

State License TX RBT-19-86197

A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Korie Hendrix

Behavior Analyst

NPI 1003103987
NPI 1003125576

Board Certified Behavior Analyst

Ana Reyes

Technician, Other

NPI 1003203241
Josephine Potter

Technician, Other

NPI 1003205220
Larhonda Callier

Technician, Other

NPI 1003207721
Maria Zelaya Castillo

Technician, Other

NPI 1003216722

Career & Practice History Timeline

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

11 Historical Events
📍
Updated Practice Location February 07, 2025

Registered at 1431 GREENWAY DR STE 500, IRVING, TX 750382444 (Tel: 8558326727)

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Updated Business Mailing Address February 07, 2025

Registered at 3403B GARDEN VILLA LN, AUSTIN, TX 787046915 (Tel: 8558326727)

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Provider Name / Credentials Updated February 07, 2025

Recorded as REBECCA BROUSSARD

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 07, 2025

Technician, Other (License #RBT-19-86197 in TX)

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NPI Profile Deactivated December 12, 2024

Record deactivated on December 12, 2024

NPI Profile Active August 31, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location August 31, 2020

Registered at 3403B GARDEN VILLA LN, AUSTIN, TX 787046915 (Tel: 8558326727)

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Updated Business Mailing Address August 31, 2020

Registered at 3403B GARDEN VILLA LN, AUSTIN, TX 787046915 (Tel: 8558326727)

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Provider Name / Credentials Updated August 31, 2020

Recorded as REBECCA BROUSSARD

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 31, 2020

Technician, Other (License #RBT-19-86197 in TX)

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Initial NPI Registration & Enumeration August 31, 2020

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: 1710590526
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 31, 2020
Last Update: February 07, 2025
Deactivation Date: December 12, 2024
Sole Proprietor: No

Mailing Address

3403b Garden Villa Ln

Austin, TX 787046915

Phone: 8558326727

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.