Wesley Baltimore, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA15453 Issued in FL

Practice address

950 S Mellonville Ave
Sanford, FL 32771-2237

Phone

(407) 322-8566

NPI assigned

Jun 6, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1465171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1881043339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 7TH PL",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329620718",
            "telephone_number": "501-554-5358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 S MELLONVILLE AVE",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327712237",
            "telephone_number": "407-322-8566"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "611 S 13th St",
            "address_purpose": "LOCATION",
            "city": "Fort Pierce",
            "state": "FL",
            "postal_code": "349504054",
            "country_code": "US",
            "telephone_number": "772-464-5262",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALTIMORE",
        "first_name": "WESLEY",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-06",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA15453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morrisa Netcher Bakker, APRN
• Sara Bakroun, M.D.
• Maria Realeza Balajadia, RPT
• Tracy L Balint
• Valentina Balogh, APRN
• Shantil S Barber, RBT
• Chelsea Barbosa, LPC
• Shannon V Barnes, LICENSED COSMETOLOGI
• Traci Renee Barnes
• Donald Wayne Barnett Sr.

• Speech-Language Pathologist in Sanford, FL
• Providers in Sanford, 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 Aug 18, 2021; 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.