Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Melissa Southall Broome, BCBA
Behavior Analyst in Vicksburg, MS · enumerated 2019.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1053969097
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Registry record
Entity type Individual (Type 1)
Name Melissa Southall Broome
Credential BCBA
Sex Female
Practice address 2222 S Frontage Rd, Vicksburg, MS, 39180
Phone (601) 852-3271
Enumeration date Sep 3, 2019
Last updated in NPPES Jan 24, 2022
Taxonomy & licenses
103K00000X Behavior Analyst Behavioral Health & Social Service Providers · License 220005 (MS) Primary
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
Is NPI 1053969097 active?
Yes, as of the latest NPPES snapshot, NPI 1053969097 is active (record last updated 2022-01-24).
How do I verify Melissa Broome's NPI record?
Cross-check NPI 1053969097 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.
Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-01-24.