Individual provider Active NPI

Katie Gilbert, AU.D.

  • Audiologist
  • San Marcos, TX
National Provider Identifier
1205361920
Registry record updated May 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
80860 Issued in TX
Practice address
1320 Wonder World Dr
107
San Marcos, TX 78666-7557
Phone
(512) 667-7921
NPI assigned
May 1, 2017
Last updated
May 1, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 80860 TX Primary

Addresses

Primary practice location

1320 Wonder World Dr
107
San Marcos, TX 78666-7557

Mailing address

1320 Wonder World Dr
107
San Marcos, TX 78666-7557
Phone (512) 667-7921

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171005001403 TX Practitioner - Qualified Audiologist 1355616038 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
LG Audiological Enterprises LLCGroup PAC ID 4789824335, 2 clinicians

Practice addresses (Care Compare)

1320 Wonder World Dr
Suite 107
San Marcos, TX 78666-7558
Phone (512) 667-7921

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
80860TXMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
LG Audiological Enterprises, LLC Audiologist CurrentSince Oct 3, 2017 Accepting new patients

Locations

1320 Wonder World Dr
Ste 107
San Marcos, TX 78666
Phone (512) 667-7921

Organizations & group practices 1

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": "1493596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493596800000",
    "number": "1205361920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 WONDER WORLD DR",
            "address_2": "107",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786667557",
            "telephone_number": "512-667-7921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 WONDER WORLD DR",
            "address_2": "107",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786667557",
            "telephone_number": "512-667-7921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILBERT",
        "first_name": "KATIE",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-01",
        "last_updated": "2017-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TX",
            "license": "80860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Marcos, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2017; 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.