Individual provider Active NPI

Kristine Michelle Perez, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Orlando, FL
National Provider Identifier
1467961383
Registry record updated Apr 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA16370 Issued in FL
Practice address
4705 S Apopka Vineland Rd Ste 100
Orlando, FL 32819-3151
Phone
(407) 905-9300
NPI assigned
Sep 22, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SZ8304 FL
Speech-Language Pathologist 235Z00000X SA16370 FL Primary

Addresses

Primary practice location

4705 S Apopka Vineland Rd Ste 100
Orlando, FL 32819-3151

Mailing address

305 S Oakland Ave
Minneola, FL 34715-9539

Other practice location 1

409 E Oakland Ave
Oakland, FL 34787-3070
Phone (954) 662-9383

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250828002025 FL Practitioner - Qualified Speech Language Pathologist 7416458864 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10747 Satinwood Cir
Orlando, FL 32825-8911

3400 Quadrangle Blvd
Orlando, FL 32817-1492

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SZ8304FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
The University of Central Florida Board of Trustees CurrentSince Aug 21, 2025 Accepting new patients
The University of Central Florida Board of Trustees Speech-Language Pathologist Current Accepting new patients
University of Central Florida CurrentSince Aug 21, 2025 Accepting new patients

Locations

3280 Progress Dr
Ste 500
Orlando, FL 32826
Phone (407) 882-0468

3400 Quadrangle Blvd
Orlando, FL 32817
Phone (407) 266-3627

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1506038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554163200000",
    "number": "1467961383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 S OAKLAND AVE",
            "city": "MINNEOLA",
            "state": "FL",
            "postal_code": "347159539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4705 S APOPKA VINELAND RD STE 100",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328193151",
            "telephone_number": "407-905-9300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "409 E Oakland Ave",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "FL",
            "postal_code": "347873070",
            "country_code": "US",
            "telephone_number": "954-662-9383",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "KRISTINE",
        "middle_name": "MICHELLE",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-22",
        "last_updated": "2019-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ8304",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA16370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 2, 2019; 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.