Active NPI
Leslie Baez, MA, CCC-SLP
- Speech-Language Pathologist
- Miami, FL
National Provider Identifier
1275956690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA12760
- Practice address
- 12030 SW 129TH CT Ste 209
Miami, FL 33186-4584 - Phone
- (786) 429-3619
- Fax
- (786) 842-3529
- NPI assigned
- Jan 22, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SA12760 | FL | Primary |
Addresses
Primary practice location
12030 SW 129TH CT Ste 209
Miami, FL 33186-4584
Mailing address
12030 SW 129TH CT Ste 209
Miami, FL 33186-4584
Phone (786) 429-3619
Other practice location 1
14050 SW 84th St Ste 201
Miami, FL 33183-4440
Phone (305) 467-6561
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA12760 | FL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| B & V Thera Pro Associates Corp | Speech-Language Pathologist | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720137600000",
"number": "1275956690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12030 SW 129TH CT STE 209",
"city": "MIAMI",
"state": "FL",
"postal_code": "331864584",
"telephone_number": "786-429-3619",
"fax_number": "786-842-3529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12030 SW 129TH CT STE 209",
"city": "MIAMI",
"state": "FL",
"postal_code": "331864584",
"telephone_number": "786-429-3619",
"fax_number": "786-842-3529"
}
],
"practiceLocations": [
{
"address_1": "14050 SW 84th St Ste 201",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331834440",
"country_code": "US",
"telephone_number": "305-467-6561",
"fax_number": "305-851-0287",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAEZ",
"first_name": "LESLIE",
"credential": "MA, CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-22",
"last_updated": "2024-07-05",
"certification_date": "2022-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA12760",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.