Individual provider Active NPI

Shaila Perez I

  • Audiologist
  • Winter Haven, FL
National Provider Identifier
1932559291
Registry record updated Jun 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AY2028 Issued in FL
Practice address
160 E Lake Howard Dr
Winter Haven, FL 33881-3155
Phone
(863) 299-1251
Fax
(863) 299-3728
NPI assigned
Jun 17, 2016
Last updated
Jun 17, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AY2028 FL Primary

Addresses

Primary practice location

160 E Lake Howard Dr
Winter Haven, FL 33881-3155

Mailing address

160 E Lake Howard Dr
Winter Haven, FL 33881-3155
Phone (863) 299-1251

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160906002381 FL Practitioner - Qualified Audiologist 2365738051 Reassigns benefits to 2 organizations
I20251122001202 CA Practitioner - Qualified Audiologist 2365738051 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Florida Speech and Hearing CenterGroup PAC ID 6002893484, 9 clinicians
Central FL Hearing Services PLLCGroup PAC ID 9739212804, 2 clinicians

Practice addresses (Care Compare)

3020 Lakeland Highlands Rd
Lakeland, FL 33803-4338
Phone (863) 686-3189

5711 US Hwy 27 N
Sebring, FL 33870-1209
Phone (863) 386-9111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AY2028FLMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Central Florida Speech & Hearing Center Audiologist CurrentSince Feb 5, 2018 Accepting new patients
California State University Northridge Audiologist CurrentSince Sep 22, 2025 Accepting new patients
The University Corporation CurrentSince Sep 22, 2025 Accepting new patients
Central FL Hearing Services PLLC Audiologist CurrentSince Apr 16, 2024 Accepting new patients

Locations

18111 Nordhoff St
Northridge, CA 91330
Phone (818) 677-1200

18111 Nordhoff St
Rm 100
Northridge, CA 91330
Phone (818) 677-2856

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

5711 US 27 N
Sebring, FL 33870
Phone (863) 386-9111

Networks

  • Freedom Health HMO Network

Organizations & group practices 5

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": "1466121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466121600000",
    "number": "1932559291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 E LAKE HOWARD DR",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338813155",
            "telephone_number": "863-299-1251",
            "fax_number": "863-299-3728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 E LAKE HOWARD DR",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338813155",
            "telephone_number": "863-299-1251",
            "fax_number": "863-299-3728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "SHAILA",
        "name_suffix": "I",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-17",
        "last_updated": "2016-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY2028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Haven, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2016; 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.