Active NPI
Kimberly Sue Throckmorton, AUD
- Audiologist-Hearing Aid Fitter
- Cedar Park, TX
National Provider Identifier
1053584797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- 80041
- Practice address
- 910 E Whitestone Blvd
Cedar Park, TX 78613-9093 - Phone
- (512) 260-6135
- NPI assigned
- Apr 2, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | 80041 | TX | Primary |
| Audiologist | 231H00000X | 80041 | TX |
Addresses
Primary practice location
910 E Whitestone Blvd
Cedar Park, TX 78613-9093
Mailing address
PO Box 844658
Dallas, TX 75284-4658
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 80041 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scott & White Clinic | Current | Accepting new patients | |
| Scott & White Clinic | Current | Accepting new patients | |
| Scott & White Clinic | Current | Accepting new patients |
Locations
101 Lafferty Ave
Cameron, TX 76520
Phone (254) 605-1100
910 E Whitestone Blvd
Cedar Park, TX 78613
Phone (512) 260-6100
1280 Arrington Rd
Ste 200
College Station, TX 77845
Phone (979) 207-6550
2401 S 31st St
Temple, TX 76508
Phone (254) 724-2459
Interoperability endpoints
- kthrockmortonaud11425@direct.sw.org
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Temple, TX
- NPI 1093779704
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1649820796
-
- Internal Medicine Physician
- College Station, TX
- NPI 1922061993
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787097600000",
"number": "1053584797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 844658",
"city": "DALLAS",
"state": "TX",
"postal_code": "752844658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "910 E WHITESTONE BLVD",
"city": "CEDAR PARK",
"state": "TX",
"postal_code": "786139093",
"telephone_number": "512-260-6135"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THROCKMORTON",
"first_name": "KIMBERLY",
"middle_name": "SUE",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-02",
"last_updated": "2026-08-19",
"certification_date": "2026-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "TX",
"license": "80041",
"primary": true
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "TX",
"license": "80041",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cedar Park, TX
- Monica Serrano Thomas, LCSW
- Rhea Thomas, BCBA
- Emily Thompson, AUD
- Bonnie Thomson, FNP
- Laura Thoreson, PSY.D
- Tiffany Simon Kondoff, DDS, PLLC
- Diba Tillery, RN, IBCLC
- Tillman Physical Therapy & Sports Training
- Tillman Physical Therapy & Sports Training Center, Inc
- Michael Ray Tillman, MPT, CSCS, CERT, MDT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.