Active NPI
Kimberly Waldrop, AU.D.
- Audiologist
- San Antonio, TX
National Provider Identifier
1295728228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 51238
- Practice address
- 7400 Merton Minter Blvd
San Antonio, TX 78229-4404 - Phone
- (210) 617-5300
- Fax
- (210) 617-5200
- NPI assigned
- Aug 24, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 51238 | TX | Primary |
Addresses
Primary practice location
7400 Merton Minter Blvd
San Antonio, TX 78229-4404
Mailing address
19950 Huebner Rd
#506
San Antonio, TX 78258-3292
Phone (210) 617-5300
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00134880 | Other | TX | MEDICARE RAILROAD |
| 80290A | Other | TX | BLUE CROSS BLUE SHIELD |
Other names 1
- Dr. Kimberly Metcalf
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51238 | TX | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295728228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19950 HUEBNER RD",
"address_2": "#506",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782583292",
"telephone_number": "210-617-5300",
"fax_number": "210-617-5200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7400 MERTON MINTER BLVD",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782294404",
"telephone_number": "210-617-5300",
"fax_number": "210-617-5200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALDROP",
"first_name": "KIMBERLY",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "TX",
"license": "51238",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00134880",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "80290A",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KIMBERLY",
"last_name": "METCALF",
"prefix": "DR.",
"credential": "AU.D.",
"code": "5",
"type": "Other Name"
}
]
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.