Active NPI
Weldon Yamil Maldonado Rodriguez, M.S., CCC-SLP
- Speech-Language Pathologist
- Raleigh, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 30003412
- Practice address
- 4909 Waters Edge Dr Ste 100
Raleigh, NC 27606-2462 - Phone
- (787) 325-4702
- NPI assigned
- Jun 17, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 39272 | CA | |
| Speech-Language Pathologist | 235Z00000X | O1-0001829 | DE | |
| Speech-Language Pathologist | 235Z00000X | 30003412 | NC | Primary |
Addresses
Primary practice location
4909 Waters Edge Dr Ste 100
Raleigh, NC 27606-2462
Mailing address
4909 Waters Edge Dr Ste 100
Raleigh, NC 27606-2462
Phone (919) 285-1647
Other practice location 1
1502 Spruce Ave
Wilmington, DE 19805-2148
Phone (302) 552-3700
Other practice location 2
200 Skiles Blvd
West Chester, PA 19382-7321
Phone (866) 459-5320
Other practice location 3
810 S Broom St
Wilmington, DE 19805-4245
Phone (302) 652-1181
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2019
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
4108 Grand Manor CT
Apt 303
Raleigh, NC 27612-5525
4909 Waters Edge Dr
Suite 100C
Raleigh, NC 27606-2462
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| O1-0001829 | DE | MD | Speech-Language Pathologist |
| 30003412 | NC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Care First Physical Therapy & Rehab, LLC | Current | Accepting new patients | |
| Speech Inspirations PLLC | Speech-Language Pathologist | Current | Accepting new patients |
Locations
100 Cornerstone Dr
Cary, NC 27519
Phone (919) 460-1921
4909 Waters Edge Dr
Ste 100
Raleigh, NC 27606
Phone (919) 285-1647
4909 Waters Edge Dr
Ste 100C
Raleigh, NC 27606
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Occupational Therapist
- Cary, NC
- NPI 1932366044
-
- Speech-Language Pathologist
- Raleigh, NC
- NPI 1205466323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747008000000",
"number": "1225654049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4909 WATERS EDGE DR STE 100",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276062462",
"telephone_number": "919-285-1647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4909 WATERS EDGE DR STE 100",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276062462",
"telephone_number": "787-325-4702"
}
],
"practiceLocations": [
{
"address_1": "1502 Spruce Ave",
"address_purpose": "LOCATION",
"city": "Wilmington",
"state": "DE",
"postal_code": "198052148",
"country_code": "US",
"telephone_number": "302-552-3700",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "200 Skiles Blvd",
"address_purpose": "LOCATION",
"city": "West Chester",
"state": "PA",
"postal_code": "193827321",
"country_code": "US",
"telephone_number": "866-459-5320",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "810 S Broom St",
"address_purpose": "LOCATION",
"city": "Wilmington",
"state": "DE",
"postal_code": "198054245",
"country_code": "US",
"telephone_number": "302-652-1181",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MALDONADO RODRIGUEZ",
"first_name": "WELDON",
"middle_name": "YAMIL",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-06-17",
"last_updated": "2025-05-12",
"certification_date": "2025-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "39272",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "DE",
"license": "O1-0001829",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "30003412",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.