Individual provider Active NPI

Amanda Lynn Hidalgo, AU.D.

  • Audiologist
  • Lakeland, FL
National Provider Identifier
1942656673
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AY2043 Issued in FL
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, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

Enrollment IDStateProvider typePAC IDDetails
I20160908000955 FL Practitioner - Qualified Audiologist 5597051110 Reassigns benefits to 2 organizations

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
Central Florida Speech and Hearing CenterGroup PAC ID 6002893484, 9 clinicians

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 100Reported as apm
Quality
70.68
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AY2043FLMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Davis Family Hearing Inc. Audiologist CurrentSince Jun 9, 2016 Accepting new patients
Central Florida Speech & Hearing Center Audiologist CurrentSince May 13, 2024 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.

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

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.

Verify at the official NPI Registry.