Johanna Cornelia Badalati Welten

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SZ5683 Issued in FL

Practice address

393 Palm Coast Pkwy SW Unit 3
Palm Coast, FL 32137-4774

Phone

(386) 793-8120

NPI assigned

Dec 10, 2011

Last updated

Dec 10, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1323475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323475200000",
    "number": "1689942211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 BANNER LN",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321378844",
            "telephone_number": "386-597-7420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "393 PALM COAST PKWY SW UNIT 3",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321374774",
            "telephone_number": "386-793-8120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADALATI WELTEN",
        "first_name": "JOHANNA",
        "middle_name": "CORNELIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-10",
        "last_updated": "2011-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ5683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Palm Coast, FL
• Providers in Palm Coast, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.