Nicole Noelle Kreps, AUD., CCC-A

Primary specialty

AudiologistTaxonomy code 231H00000X

License

147-000893 Issued in IL

Practice address

10409 S Roberts Rd
Suite 306
Palos Hills, IL 60465-1931

Phone

(630) 323-5256

NPI assigned

Aug 21, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Lester and Rosalie Anixter Center

  • Audiologist
  • Chicago, IL
  • NPI 1528271582
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481068800000",
    "number": "1073629481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10409 S ROBERTS RD",
            "city": "PALOS HILLS",
            "state": "IL",
            "postal_code": "604651931",
            "telephone_number": "708-212-1769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10409 S ROBERTS RD",
            "address_2": "SUITE 306",
            "city": "PALOS HILLS",
            "state": "IL",
            "postal_code": "604651931",
            "telephone_number": "630-323-5256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREPS",
        "first_name": "NICOLE",
        "middle_name": "NOELLE",
        "name_prefix": "Dr.",
        "credential": "AUD., CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-21",
        "last_updated": "2016-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IL",
            "license": "147-000893",
            "primary": true
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY 1507",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EI",
            "identifier": "NW56170900P",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kidney Care Center South
• Jeffery L Kirscher, DDS
• Lauren Ann Klancic, MA, QMHP
• Jolanta Koc
• Sara Kozera
• Rhonda Krisik, P.T.A.
• Gary Adam Kronen, MD
• Lisa Kuban, LCPC
• Srilaya Kudaravalli
• Mark Kuklewicz, PT

• Audiologist in Palos Hills, IL
• Providers in Palos Hills, IL by specialty
• Audiologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2016; 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.

Verify at the official NPI Registry.