Shalva Gail Trestman, AU.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

17.000654 Issued in CT

Practice address

15 Corporate Dr Ste 2-8
Trumbull, CT 06611-1351

Phone

(203) 452-7081

NPI assigned

Jun 16, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Connecticut Ear Nose and Throat Sinus and Allergy Specialists PCGroup PAC ID 1052374329, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Connecticut Ear, Nose & Throat, Sinus & Allergy Specialists, P.C.

  • Otolaryngology Physician
  • Waterbury, CT
  • NPI 1881635712

  Audiologist

  Medicare reassignment Care Compare group NPD
• Connecticut Ear Nose Throat Medical and Surgical Specialists PC

  • Otolaryngology Physician
  • Trumbull, CT
  • NPI 1699836197
  NPD

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

{
    "created_epoch": "1592265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592265600000",
    "number": "1144845033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 CABLES AVE APT 16",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067101645",
            "telephone_number": "917-200-3983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 CORPORATE DR STE 2-8",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066111351",
            "telephone_number": "203-452-7081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRESTMAN",
        "first_name": "SHALVA",
        "middle_name": "GAIL",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-16",
        "last_updated": "2020-06-16",
        "certification_date": "2020-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CT",
            "license": "17.000654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Town of Trumbull
• Town of Trumbull
• Town of Trumbull
• Taylor F Traisci
• Samantha Lee Trayer
• Edward Martin Tristine, M.D
• Naomie B Trofort
• Tracy Trubovich Rotunno
• True Essence Counseling LLC
• Trumbull Dental Arts PLLC

• Audiologist in Trumbull, CT
• Providers in Trumbull, CT by specialty
• Audiologist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2020; 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.