Tracie L Weston, M.A. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA0002643 Issued in FL

Practice address

315 W Hornbeam Dr
Longwood, FL 32779-2532

Phone

(407) 682-5137

Fax

(407) 682-5952

NPI assigned

Jan 9, 2007

Last updated

Jul 8, 2007By 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

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922157700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 W HORNBEAM DR",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327792532",
            "telephone_number": "407-682-5137",
            "fax_number": "407-682-5952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 W HORNBEAM DR",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327792532",
            "telephone_number": "407-682-5137",
            "fax_number": "407-682-5952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESTON",
        "first_name": "TRACIE",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "M.A. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA0002643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nneka Wells, OTR/L
• Wellspring Health & Integrative Medicine, LLC
• Katherine M Welty, MD
• Wesley Peter Blitchington, PH.D.
• Pam Wesley
• Eric Wettstein, RMHCI
• Wheatland Health Community Care Inc.
• Wheatland Health Medical Supply
• Olivia Whelan, MOTRL
• Christine Elizabeth White

• Speech-Language Pathologist in Longwood, FL
• Providers in Longwood, 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 Jul 8, 2007; 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.