Individual provider Active NPI

Kristine Marie Trester, AU.D.

  • Audiologist
  • Highland Park, IL
National Provider Identifier
1154679934
Registry record updated Jul 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
147.001433 Issued in IL
Practice address
1160 Park Ave W
Suite 4 South
Highland Park, IL 60035-2230
Phone
(847) 432-5555
Fax
(847) 432-5554
NPI assigned
Aug 27, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 147.001433 IL Primary

Addresses

Primary practice location

1160 Park Ave W
Suite 4 South
Highland Park, IL 60035-2230

Mailing address

1160 Park Ave W
Suite 4 South
Highland Park, IL 60035-2230
Phone (847) 432-5555

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120926000772 IL Practitioner - Qualified Audiologist 0244489748 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Rush Medical College of Rush University, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore Audiology Consultants PLLCGroup PAC ID 8224476635, 5 clinicians

Practice addresses (Care Compare)

1160 Park Ave W
Suite 4S
Highland Park, IL 60035-2271
Phone (847) 432-5555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
147.001433ILMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore Audiology Consultants, PLLC Audiologist CurrentSince Feb 1, 2024 Accepting new patients

Locations

1160 Park Ave W
Ste 4S
Highland Park, IL 60035
Phone (847) 432-5555

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": "1346025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374710400000",
    "number": "1154679934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 PARK AVE W",
            "address_2": "SUITE 4 SOUTH",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600352230",
            "telephone_number": "847-432-5555",
            "fax_number": "847-432-5554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 PARK AVE W",
            "address_2": "SUITE 4 SOUTH",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600352230",
            "telephone_number": "847-432-5555",
            "fax_number": "847-432-5554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRESTER",
        "first_name": "KRISTINE",
        "middle_name": "MARIE",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-27",
        "last_updated": "2013-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IL",
            "license": "147.001433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2013; 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.