MS. KIMBERLY TERSILLA SMITH AUD - NPI 1023509734

Q: 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.

Q: What is Kimberly Smith's specialty?

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

Q: 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.

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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

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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

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