Individual provider Active NPI

Teresa Ann Baker, AUD

  • Audiologist
  • Orlando, FL
National Provider Identifier
1376822056
Registry record updated Feb 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AY1732 Issued in FL
Practice address
3113 Lawton Rd Ste 109
Orlando, FL 32803-3519
Phone
(407) 898-2220
Fax
(877) 769-2047
NPI assigned
Aug 11, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AY1732 FL Primary

Addresses

Primary practice location

3113 Lawton Rd Ste 109
Orlando, FL 32803-3519

Mailing address

3113 Lawton Rd Ste 109
Orlando, FL 32803-3519
Phone (407) 898-2220

Other identifiers 1

IdentifierTypeStateIssuer
013544900MedicaidFL

Other names 1

  • Teresa Ann Shipman Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120824000711 FL Practitioner - Qualified Audiologist 6103073242 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
University of South Florida College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3113 Lawton Rd
Suite 109
Orlando, FL 32803-3519
Phone (407) 898-2220

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AY1732FLMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hearing Associates of Central Florida LLC Audiologist CurrentSince Mar 5, 2018 Accepting new patients
Central Florida Speech & Hearing Center Audiologist CurrentSince Oct 13, 2014 Accepting new patients
Damask Physicians Group PLLC Past Accepting new patients
Hearusa Inc PastSince May 7, 2012 Accepting new patients

Locations

3020 Lakeland Highlands Rd
Lakeland, FL 33803
Phone (863) 686-3189

3113 Lawton Rd
Ste 109
Orlando, FL 32803
Phone (407) 898-2220

Organizations & group practices 4

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": "1313020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675814400000",
    "number": "1376822056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3113 LAWTON RD STE 109",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328033519",
            "telephone_number": "407-898-2220",
            "fax_number": "877-769-2047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3113 LAWTON RD STE 109",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328033519",
            "telephone_number": "407-898-2220",
            "fax_number": "877-769-2047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "TERESA",
        "middle_name": "ANN",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-11",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY1732",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "013544900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERESA",
            "last_name": "SHIPMAN",
            "middle_name": "ANN",
            "credential": "AUD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2023; 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.