Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1447750351 Individual Practitioner Female Practitioner

Shannon Nicole Broderick

Speech-Language Pathologist • Virginia Beach, VA

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Shannon Broderick is a registered healthcare professional specializing in Speech-Language Pathologist in Virginia Beach, VA. Official NPI practice address is registered at 4668 PEMBROKE BLVD STE 115.

Practice Location & Contact Primary Location

Practice Address

4668 Pembroke Blvd Ste 115

Virginia Beach, VA 234556423

Telephone 7579324261
Associated Practice Facility / Clinic
🏢 Ivyrehab Sept, Llc Facility NPI 1235356163

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Virginia Beach, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.9 Yrs
State Avg: 14.2 Yrs
Regional Practice Density
443 Specialists

Practicing in Virginia Beach, VA (4974 Statewide)

Telehealth Adoption Rate
0.5% 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: 2020-07-10
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.

Secondary Practice Locations

7552 Navarre Pkwy Unit 32

Navarre, FL 325667308

Phone: 8509393944

Practice Associates & Co-Workers

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

5 Associated Practitioners
Stephanie Welp , OTR, L

Occupational Therapist

NPI 1184034605

Occupational Therapist Registered, L

Stephanie Roberts , PT

Physical Therapist

NPI 1740233436

Physical Therapist

Dr. Lauren Duffy , DPT

Physical Therapist

NPI 1942600143

Doctor of Physical Therapy

Rebecca Hastings , MS, OTR, L

Occupational Therapist

NPI 1952769200

Master of Science, Occupational Therapist Registered, L

Brenna Bond , SLP-CF

Speech-Language Pathologist

NPI 1992372684

SLPCF

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location July 10, 2020

Registered at 4668 PEMBROKE BLVD STE 115, VIRGINIA BEACH, VA 234556423 (Tel: 7579324261)

📍
Updated Business Mailing Address July 10, 2020

Registered at 1377 MOTOR PKWY STE 307, ISLANDIA, NY 117495258 (Tel: 6315805200)

NPI Profile Active February 16, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location February 16, 2018

Registered at 7552 NAVARRE PKWY UNIT 32, NAVARRE, FL 325667308 (Tel: 8509393944)

📍
Updated Business Mailing Address February 16, 2018

Registered at 2262 JUDD DR, LAWRENCEBURG, IN 470259714

👤
Provider Name / Credentials Updated February 16, 2018

Recorded as SHANNON BRODERICK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 16, 2018

Speech-Language Pathologist

🟢
Initial NPI Registration & Enumeration February 16, 2018

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: 1447750351
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 16, 2018
Last Update: July 10, 2020
Sole Proprietor: Yes

Mailing Address

1377 Motor Pkwy Ste 307

Islandia, NY 117495258

Phone: 6315805200

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.