Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Kenyetta N. Broughton-Floyd

Developmental Therapist in Park Forest, IL · enumerated 2007.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104030139

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Registry record

Entity type Individual (Type 1)

Name Kenyetta N. Broughton-Floyd

Sex Female

Practice address Park Forest, IL, 60466

Phone (312) 238-9128

Enumeration date May 9, 2007

Last updated in NPPES Sep 11, 2025

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

101YS0200X School Counselor Behavioral Health & Social Service Providers Secondary

222Q00000X Developmental Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License KB52980401P (IL) 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.

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Frequently asked questions

Is NPI 1104030139 active?

Yes, as of the latest NPPES snapshot, NPI 1104030139 is active (record last updated 2025-09-11).

How do I verify Kenyetta Broughton-Floyd's NPI record?

Cross-check NPI 1104030139 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

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Knbf Consultants Early Intervention Provider Agency · Park Forest, IL NPI 1861636920 Home Sweet Home Early Developmental Rehab Early Intervention Provider Agency · Park Forest, IL NPI 1528399425

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-09-11.