MS. KIMBERLY TERSILLA SMITH (NPI# 1023509734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023509734 |
| Entity Type | Individual |
| Full Name | MS. KIMBERLY TERSILLA SMITH |
| Other Name | KIMBERLY TERSILLA LEDDA |
| Credential | AUD |
| Practice Address |
10200 Trinity Pkwy Ste 201 Stockton CA 95219-7288 |
| Mailing Address |
1111 Exposition Blvd Bldg 700 Sacramento CA 95815-4314 |
| Practice Telephone | 2099520483 |
| Practice Fax Number | 2094785785 |
| Mailing Telephone | 9167363399 |
| Mailing Fax Number | 9162334171 |
| Enumeration Date | 2018-05-29 |
| Last Update Date | 2020-05-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | AU3301 | CA | Speech, Language and Hearing Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10200 Trinity Pkwy Ste 201, Stockton, CA 952197288 | 2099520483 | 2094785785 |
| 1111 Exposition Blvd Bldg 700, Sacramento, CA 958154314 | 9167363399 | 9162334171 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801496443 | Kimberly A Smith | Counselor | 2764 Teakwood Ln, Plano, TX 75075-9100 | 2020-10-30 |
| 1437703212 | Kimberly L Smith | Massage Therapist | 2707 Silesia Ln Apt C, Bellingham, WA 98226-3664 | 2019-07-30 |
| 1831651298 | Kimberly A Smith | Hearing Instrument Specialist | 954 E Main St, Chillicothe, OH 45601-2844 | 2019-04-04 |
| 1467916437 | Kimberly Alicia Smith | Family Medicine | 4000 Mitchellville Rd Ste A308, Bowie, MD 20716-3135 | 2019-01-24 |
| 1891296901 | Kimberly Diane Smith | Acupuncturist | 11110 Ohio Ave Ste 105, Los Angeles, CA 90025-6345 | 2018-02-23 |
| 1184140881 | Kimberly Denise Smith | Peer Specialist | 720 14th Ave Fl 2, Longview, WA 98632-2315 | 2017-08-15 |
| 1285164897 | Kimberly Smith | Contractor | 2607 Lakebriar St, San Antonio, TX 78222 | 2017-06-15 |
| 1912458092 | Kimberly Grace Smith | Speech-Language Pathologist | 220 Lincoln Pl, Apt 2f, Brooklyn, NY 11217-3761 | 2016-10-24 |
| 1922553171 | Kimberly Smith | Licensed Practical Nurse | 4432 Drexel St, Detroit, MI 48215-3346 | 2016-08-17 |
| 1144673476 | Kimberly B. Smith | Speech-Language Pathologist | 39341 Jason St, Prairieville, LA 70769-4614 | 2016-07-21 |
| Street Address |
10200 TRINITY PKWY STE 201 |
| City | STOCKTON |
| State | CA |
| Zip Code | 95219-7288 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194764472 | Ronald George Dong | Otolaryngology | 10200 Trinity Pkwy Ste 201, Stockton, CA 95219-7288 | 2006-06-05 |
| 1952621435 | Josephine Hoang Nguyen | Otolaryngology | 10200 Trinity Pkwy Ste 201, Stockton, CA 95219-7288 | 2010-06-07 |
| 1841377405 | Denise Valerie Guendert | Otolaryngology | 10200 Trinity Pkwy Ste 201, Stockton, CA 95219-7288 | 2006-11-01 |
| 1952488512 | Andrew Jungwook Limb | Otolaryngology | 10200 Trinity Pkwy Ste 201, Stockton, CA 95219-7288 | 2006-11-01 |
| 1932201589 | Spencer L. Lowe | Otolaryngology | 10200 Trinity Pkwy Ste 201, Stockton, CA 95219-7288 | 2006-09-03 |
| 1285668707 | Susan R Cordes | Otolaryngology | 10200 Trinity Pkwy Ste 201, Stockton, CA 95219-7288 | 2006-07-10 |
| 1922047299 | Kristin Michelle Bennett | Otolaryngology | 10200 Trinity Pkwy Ste 201, Stockton, CA 95219-7288 | 2006-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821568494 | Vanessa Paola Uribe Morales | Behavior Technician | 3620 Hammer Lane, Stockton, CA 95219 | 2018-11-27 |
| 1306316930 | Zulema Cecilia Santana | Behavior Technician | 3620 W. Hammer Ln, Stockton, CA 95219 | 2018-11-27 |
| 1699245241 | Tiana Gonzalez | Behavior Technician | 3620 W. Hammer Ln., Stockton, CA 95219 | 2018-11-27 |
| 1609346220 | Kelly Morales | Behavior Technician | 3620 W Hammer Lane, Stockton, CA 95219 | 2018-11-26 |
| 1336619956 | Mouagoleah Her | Behavior Technician | 3620 W. Hammer Lane, Stockton, CA 95219 | 2018-11-26 |
| 1750837985 | Alexsandra Trejo | Marriage & Family Therapist | 6707 Embarcadero Drive, Stockton, CA 95219 | 2016-08-28 |
| 1659764397 | Integrated Pain Treatment Center | Pain Medicine | 4312 Feather River Drive, Suite C, Stockton, CA 95219 | 2015-03-05 |
| 1790180859 | Mary Karen Papagolos | Marriage & Family Therapist | 2800 W March Ln Ste 473, Stockton, CA 95219 | 2014-10-30 |
| 1932535648 | Morton Rothbard | Urology | 4673 Pine Valley Cir., Stockton, CA 95219 | 2013-09-26 |
| 1033482591 | Michelle M Rutherford | Physical Therapist | 10200 Trinity Pkwy Ste 205, Stockton, CA 95219 | 2012-02-14 |
| Find all providers in zip 95219 | ||||
| Taxonomy Code | 231H00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| (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. |
| Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063799740 | Aunyaporn Amornpongchai | Audiologist | 3601 Pacific Avenue, Audiology Department, Stockton, CA 95211 | 2011-11-09 |
| 1225288806 | Erica Diana Rodriguez | Audiologist | 2911 E Anita St, Stockton, CA 95205-3848 | 2008-09-19 |
| 1104985613 | Ken Edward Norton | Audiologist | 1231 W Robinhood Dr Ste A2, Stockton, CA 95207-5506 | 2006-12-08 |
| 1871591917 | Linda Louise Wolff | Audiologist | 9506 Corsa Way, Stockton, CA 95212-3143 | 2005-07-12 |
| 1932649779 | Cvs Aoc Services, L.L.C. | Audiologist | 2605 W March Ln, Stockton, CA 95207-6522 | 2017-02-27 |
| 1881143832 | Stephanie Borja-johnson | Audiologist | 2545 W Hammer Ln, Stockton, CA 95209-2839 | 2016-09-30 |
| 1679914535 | Stephanie Elise West Raval | Audiologist | 3601 Pacific Ave, Stockton, CA 95211-0110 | 2013-07-08 |
| 1619036530 | Troy Hamilton | Audiologist | 7373 West Lane, Stockton, CA 95210-3377 | 2006-12-06 |
| 1396819884 | Andrea Lynn Wallace | Audiologist | 7373 West Ln, Stockton, CA 95210-3377 | 2006-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689273856 | Jaclyn Marie Moor | Audiologist | 2452 Watson Ct Ste 1700, Palo Alto, CA 94303-3216 | 2020-10-20 |
| 1275130163 | Jessica E. Hiers | Audiologist | 2280 Diamnond Blvd, Suite 520, Concord, CA 94520 | 2020-10-05 |
| 1063029635 | Julia Rebecca Drouin | Audiologist | 520 N Brookhurst St Ste 107, Anaheim, CA 92801-5207 | 2020-09-28 |
| 1093329096 | Chad Walker | Audiologist | 20911 Earl St Ste 400, Torrance, CA 90503-4355 | 2020-09-07 |
| 1831703537 | Shannon Leigh Doolittle | Audiologist | 3020 Children's Way Mc5010, San Diego, CA 92123 | 2020-09-01 |
| 1518570779 | Lauren Jean Sandberg | Audiologist | 1805 N New Hampshire Ave, Los Angeles, CA 90027-4231 | 2020-08-27 |
| 1366052680 | Chenchen Zhang | Audiologist | 2280 Diamond Blvd Ste 520, Concord, CA 94520-5719 | 2020-08-01 |
| 1407464233 | Alexis Marina Ronney | Audiologist | 197 E Caroline St Ste 1100, San Bernardino, CA 92408-3731 | 2020-07-17 |
| 1033727961 | Nicholas Anthony Faillace | Audiologist | 3590 Camino Del Rio N Ste 201, San Diego, CA 92108-1707 | 2020-07-16 |
| 1316565633 | Meagan Michelle Bergeron | Audiologist | 6060 Hellyer Ave Ste 150, San Jose, CA 95138-1047 | 2020-07-13 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MS. KIMBERLY TERSILLA SMITH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.