Individual provider Active NPI

Kayla Golliher, AU.D.

  • Audiologist
  • San Antonio, TX
National Provider Identifier
1366827131
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
80787 Issued in TX
Practice address
142 El Monte Blvd
San Antonio, TX 78212-1246
Phone
(432) 290-0551
Fax
(210) 615-6814
NPI assigned
Jul 22, 2015
Last updated
Apr 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 80787 TX Primary

Addresses

Primary practice location

142 El Monte Blvd
San Antonio, TX 78212-1246

Mailing address

142 El Monte Blvd
San Antonio, TX 78212-1246
Phone (432) 290-0551

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151016002048 TX Practitioner - Qualified Audiologist 8527377308 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Acro Audiology Hearing Care CenterGroup PAC ID 0547686545, 4 clinicians

Practice addresses (Care Compare)

109 W Hornbeck Blvd
Fort Stockton, TX 79735-3213
Phone (432) 244-4311

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
80787TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Acro Audiology Hearing Care Center Audiologist CurrentSince May 18, 2020 Accepting new patients

Locations

109 W Hornbeck Blvd
Fort Stockton, TX 79735
Phone (432) 244-4311

21031 Market Rdg
Ste 2
San Antonio, TX 78258
Phone (210) 239-5995

540 Oak Centre Dr
Ste 220
San Antonio, TX 78258
Phone (210) 239-5204

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": "1437523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1366827131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 EL MONTE BLVD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782121246",
            "telephone_number": "432-290-0551",
            "fax_number": "210-615-6814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 EL MONTE BLVD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782121246",
            "telephone_number": "432-290-0551",
            "fax_number": "210-615-6814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLLIHER",
        "first_name": "KAYLA",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-22",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TX",
            "license": "80787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 18, 2024; 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.