Active NPI
Kristine Michelle Perez, M.S. CCC-SLP
- Speech-Language Pathologist
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA16370
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| SZ8304 | FL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The University of Central Florida Board of Trustees | Current | Accepting new patients | |
| The University of Central Florida Board of Trustees | Speech-Language Pathologist | Current | Accepting new patients |
| University of Central Florida | Current | 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.
-
- Speech-Language Pathologist
- Orlando, FL
- NPI 1568497527
-
- Neurology Physician
- Orlando, FL
- NPI 1609575786
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.