1. Home
  2. Directory
  3. California
  4. Stockton
  5. Audiologist
  6. NPI Profile

MS. KIMBERLY TERSILLA SMITH AUD
NPI 1023509734
Audiologist in Stockton, CA

Active since May 29, 2018
10200 TRINITY PKWY STE 201, STOCKTON, CA 95219(209) 952-0483(209) 478-5785 Get Directions Write a Review

NPPES record last updated: May 14, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 14, 2020, Dec 17, 2019 (2 updates tracked since 2019).

About Ms. Kimberly Tersilla Smith Aud NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. KIMBERLY TERSILLA SMITH AUD (NPI 1023509734) is an individual audiologist in Stockton, California, licensed in California (AU3301) and active in the NPI registry since May 2018. She maintains a secondary practice location in Sacramento.

NPPES Registry Identity

NPI1023509734
Entity TypeIndividualFemale
Primary Taxonomy231H00000X
Provider Legal NameMS. KIMBERLY TERSILLA SMITHCredential: AUD
Location Address10200 TRINITY PKWY STE 201Stockton, CA 95219-7288
Mailing Address1111 Exposition Blvd Bldg 700Sacramento, CA 95815-4314 · (916) 736-3399 · Fax (916) 233-4171
Phone(209) 952-0483
Fax(209) 478-5785
Sole ProprietorNo
Enumeration DateMay 29, 2018
Last NPPES UpdateMay 14, 20202 updates tracked since enumeration
NPPES CertifiedMay 14, 2020
✔ NPI 1023509734 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAudiologistSpeech, Language and Hearing Service Providers
Taxonomy Code231H00000X
License✔ Licensed in CA · AU3301
Definition
(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master's degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy.
10200 TRINITY PKWY STE 201, Stockton, CA 95219
Open in Google Maps ↗

Other Names 1

Former Name (1)Kimberly Tersilla Ledda Aud

Secondary Practice Location 1

Location 11111 Exposition Blvd Bldg 700Sacramento, CA 95815-4314 · Phone (916) 736-3399 ext. 1082 · Fax (916) 233-4171

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Kimberly Tersilla Smith Aud is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Kimberly Smith reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Regents Of The University Of California
26 mi
Multi-Specialty
9390 BIG HORN BLVD
Elk Grove, CA 95758
  • Reassigned Medicare billing, California enrollment
  • 918 clinicians in this Medicare group
NPI 1174966071 (916) 683-3950

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RONALD GEORGE DONG M.D.
Otolaryngology
10200 TRINITY PKWY STE 201
STOCKTON, CA 95219
San Joaquin County (209) 952-0483
DR. SUSAN R CORDES M.D.
Otolaryngology
10200 TRINITY PKWY STE 201
STOCKTON, CA 95219
San Joaquin County (209) 952-0483
DR. SARAH ISABEL GARVEY AUD
Audiologist
10200 TRINITY PKWY STE 201
STOCKTON, CA 95219
San Joaquin County (209) 952-0483
DR. DENISE VALERIE GUENDERT M.D.
Otolaryngology
10200 TRINITY PKWY STE 201
STOCKTON, CA 95219
San Joaquin County (209) 952-0483
DR. ELIZABETH WYLLIE AUD
Audiologist
10200 TRINITY PKWY STE 201
STOCKTON, CA 95219
San Joaquin County (209) 952-0483
DR. KRISTIN MICHELLE BENNETT M.D.
Otolaryngology
10200 TRINITY PKWY STE 201
STOCKTON, CA 95219
San Joaquin County (209) 952-0483
DR. SPENCER L. LOWE MD
Otolaryngology
10200 TRINITY PKWY STE 201
STOCKTON, CA 95219
San Joaquin County (209) 952-0483
JOSEPHINE HOANG NGUYEN MD
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
10200 TRINITY PKWY STE 201
STOCKTON, CA 95219
San Joaquin County (209) 952-0483

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Smith's NPI number?

The NPI number for Kimberly Smith is 1023509734. It was assigned to this individual provider in the NPPES registry on May 29, 2018. The provider is also known as Kimberly Tersilla Ledda Aud.

Where is Kimberly Smith located?

Kimberly Smith practices at 10200 Trinity Pkwy Ste 201, Stockton, CA 95219. The listed phone number is (209) 952-0483.

What is Kimberly Smith's specialty?

The primary specialty registered for this NPI is Audiologist with taxonomy code 231H00000X.

Is Kimberly Smith enrolled in Medicare?

Yes. Kimberly Smith is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kimberly Smith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Smith reassigns Medicare benefits to Regents Of The University Of California (Elk Grove, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kimberly Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kimberly Smith was last updated on May 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.