Individual provider Active NPI

Jenilee Perlas Pulido, AU.D

  • Audiologist
  • Sarasota, FL
National Provider Identifier
1306100300
Registry record updated Jul 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AY 1733 Issued in FL
Practice address
2800 Hillview St
Sarasota, FL 34239-3221
Phone
(941) 316-0406
NPI assigned
Jun 25, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AY 1733 FL Primary

Addresses

Primary practice location

2800 Hillview St
Sarasota, FL 34239-3221

Mailing address

1878 Eagle Trace Blvd
Palm Harbor, FL 34685-3311
Phone (727) 641-0873

Other names 1

  • Jenilee Mae Perlas Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140917000368 FL Practitioner - Qualified Audiologist 4385863745 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hearcare Audiology Center IncGroup PAC ID 0042274755, 5 clinicians

Practice addresses (Care Compare)

2800 Hillview St
Sarasota, FL 34239-3221
Phone (941) 316-0406

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AY 1733FLMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hearcare Audiology Center Inc Audiologist CurrentSince Aug 26, 2014 Accepting new patients

Locations

2800 Hillview St
Sarasota, FL 34239
Phone (941) 316-0406

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": "1340582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405468800000",
    "number": "1306100300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1878 EAGLE TRACE BLVD",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346853311",
            "telephone_number": "727-641-0873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 HILLVIEW ST",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342393221",
            "telephone_number": "941-316-0406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PULIDO",
        "first_name": "JENILEE",
        "middle_name": "PERLAS",
        "credential": "AU.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-25",
        "last_updated": "2014-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY 1733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENILEE",
            "last_name": "PERLAS",
            "middle_name": "MAE",
            "credential": "AU.D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2014; 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.

Verify at the official NPI Registry.