Active NPI
Amanda Lynn Hidalgo, AU.D.
- Audiologist
- Lakeland, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AY2043
- Practice address
- 1755 N Florida Ave
Lakeland, FL 33805-3109 - Phone
- (863) 904-6296
- Fax
- (866) 264-8519
- NPI assigned
- May 12, 2016
- Last updated
- Nov 27, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | AY2043 | FL | Primary |
Addresses
Primary practice location
1755 N Florida Ave
Lakeland, FL 33805-3109
Mailing address
1600 Lakeland Hills Blvd.
Attn: Credentialing Department
Lakeland, FL 33805-3019
Phone (863) 680-7000
Other practice location 1
5119 Commercial Way
Weeki Wachee, FL 34606-1996
Phone (352) 666-8910
Other practice location 2
13101 Spring Hill Dr
Spring Hill, FL 34609-5052
Phone (352) 666-8911
Other practice location 3
3030 Harden Blvd
Lakeland, FL 33803
Phone (863) 284-5906
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | aperkins18114@direct.watsonclinicad.com | Watson Clinic LLP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3020 Lakeland Highlands Rd
Lakeland, FL 33803-4338
Phone (863) 686-3189
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.18 of 100
- Quality
- 70.68
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AY2043 | FL | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Davis Family Hearing Inc. | Audiologist | Current | Accepting new patients |
| Central Florida Speech & Hearing Center | Audiologist | Current | Accepting new patients |
| Central Florida Speech & Hearing Center | Audiologist | Current | Accepting new patients |
| Davis Family Hearing Inc. | Audiologist | Past | Accepting new patients |
Locations
3020 Lakeland Highlands Rd
Lakeland, FL 33803
Phone (863) 686-3189
11325 Little Rd
New Prt Rchy, FL 34654
Phone (352) 666-8910
13101 Spring Hill Dr
Spring Hill, FL 34609
Phone (352) 666-8910
4075 Mariner Blvd
Spring Hill, FL 34609
Phone (352) 666-8910
5119 Commercial Way
Weeki Wachee, FL 34606
Phone (352) 666-8910
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Speech-Language Pathologist
- Lakeland, FL
- NPI 1336171826
Audiologist
-
- Audiologist
- Spring Hill, FL
- NPI 1043560048
-
- Audiologist
- Lakeland, FL
- NPI 1669017158
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1942656673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 LAKELAND HILLS BLVD.",
"address_2": "ATTN: CREDENTIALING DEPARTMENT",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338053019",
"telephone_number": "863-680-7000",
"fax_number": "866-264-8519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1755 N FLORIDA AVE",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338053109",
"telephone_number": "863-904-6296",
"fax_number": "866-264-8519"
}
],
"practiceLocations": [
{
"address_1": "5119 Commercial Way",
"address_purpose": "LOCATION",
"city": "Weeki Wachee",
"state": "FL",
"postal_code": "346061996",
"country_code": "US",
"telephone_number": "352-666-8910",
"fax_number": "352-683-6889",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "13101 Spring Hill Dr",
"address_purpose": "LOCATION",
"city": "Spring Hill",
"state": "FL",
"postal_code": "346095052",
"country_code": "US",
"telephone_number": "352-666-8911",
"fax_number": "352-683-6889",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3030 Harden Blvd",
"address_purpose": "LOCATION",
"city": "Lakeland",
"state": "FL",
"postal_code": "33803",
"country_code": "US",
"telephone_number": "863-284-5906",
"fax_number": "863-284-5149",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HIDALGO",
"first_name": "AMANDA",
"middle_name": "LYNN",
"credential": "AU.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-05-12",
"last_updated": "2023-11-27",
"certification_date": "2020-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "FL",
"license": "AY2043",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "aperkins18114@direct.watsonclinicad.com",
"affiliation": "Y",
"endpointDescription": "Direct Message Address",
"affiliationName": "Watson Clinic LLP",
"address_1": "1430 Lakeland Hills Blvd",
"city": "Lakeland",
"state": "FL",
"country_code": "US",
"postal_code": "338053202",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lakeland, FL
- HHNS, LLC.
- Matthew Allen Hibdon, DO
- Katherine Vanessa Hickey, APRN
- Dontae Hicks, LCSW
- Isabel Victoria Hidalgo Acosta I, M.D
- Highland Center for Orthopedics & Upper Extremity Surgery P a (Highland Center for Orthopaedics)
- Highland Park Dental
- Highlands Lake Center, LLC (Highlands Lake Center)
- Highlands Occupational Therapy, Inc (The Hand Rehabilitation Center of Florida)
- Highlands Occupational Therapy, Inc (The Hand Rehabilitation Center of Florida)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.