Active NPI
Kimberly Perry, AU.D.
- Audiologist
- San Antonio, TX
National Provider Identifier
1487860672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 51388
- Practice address
- 1222 N Main Ave
Ste 115
San Antonio, TX 78212-5712 - Phone
- (210) 476-8834
- Fax
- (210) 476-8856
- NPI assigned
- May 15, 2007
- 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 | 51388 | TX | Primary |
Addresses
Primary practice location
1222 N Main Ave
Ste 115
San Antonio, TX 78212-5712
Mailing address
9 Kings Heath
San Antonio, TX 78257-1729
Phone (210) 387-1844
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51388 | TX | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ear Medical Group PA | Audiologist | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CHGACD
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1487860672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 KINGS HEATH",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782571729",
"telephone_number": "210-387-1844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1222 N MAIN AVE",
"address_2": "STE 115",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782125712",
"telephone_number": "210-476-8834",
"fax_number": "210-476-8856"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRY",
"first_name": "KIMBERLY",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "TX",
"license": "51388",
"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 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.