Individual provider Active NPI

Caroline Christine Perez, AU.D.

  • Audiologist
  • Tampa, FL
National Provider Identifier
1407322233
Registry record updated Aug 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AY2234 Issued in FL
Practice address
7433 Monika Manor Dr
Tampa, FL 33625-5814
Phone
(813) 879-8045
Fax
(813) 960-3299
NPI assigned
Oct 19, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AY2234 FL Primary

Addresses

Primary practice location

7433 Monika Manor Dr
Tampa, FL 33625-5814

Mailing address

10002 Princess Palm Ave Ste 332
Tampa, FL 33619-8327
Phone (813) 571-7184

Other practice location 1

1139 Nikki View Dr
Brandon, FL 33511-4879
Phone (813) 879-8045

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181128001555 FL Practitioner - Qualified Audiologist 4688918964 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lukes Cataract and Laser InstituteGroup PAC ID 7517853948, 54 clinicians

Practice addresses (Care Compare)

13303 N Dale Mabry Hwy
Tampa, FL 33618-2409
Phone (813) 384-3838

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AY2234FLMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
St Lukes Cataract & Laser Institute CurrentSince May 1, 2022 Accepting new patients

Locations

501 S Fort Harrison Ave
Clearwater, FL 33756
Phone (727) 210-8811

13303 N Dale Mabry Hwy
Tampa, FL 33618
Phone (727) 938-2020

43309 US Highway 19 N
Tarpon Springs, FL 34689
Phone (727) 938-2020

Interoperability endpoints

  • Direct secure messaging: caroline.perez.p3@direct.stlukeseye.nextgenshare.com
  • Direct secure messaging: caroline.perez.p1@direct.stlukeseye.nextgenshare.com

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": "1539907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628035200000",
    "number": "1407322233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10002 PRINCESS PALM AVE STE 332",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336198327",
            "telephone_number": "813-571-7184",
            "fax_number": "813-654-4695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7433 MONIKA MANOR DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336255814",
            "telephone_number": "813-879-8045",
            "fax_number": "813-960-3299"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1139 Nikki View Dr",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "FL",
            "postal_code": "335114879",
            "country_code": "US",
            "telephone_number": "813-879-8045",
            "fax_number": "813-685-2477",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "CAROLINE",
        "middle_name": "CHRISTINE",
        "credential": "AU.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-19",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY2234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2021; 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.