Kristen Marie Conners, M.S., CCC-A

Primary specialty

AudiologistTaxonomy code 231H00000X

License

147-000952 Issued in IL

Practice address

12910 S la Grange Rd
Palos Park, IL 60464-1717

Phone

(708) 448-1234

Fax

(708) 448-1402

NPI assigned

May 7, 2007

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 IL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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.

• Jadan Group LTD

  • Audiologist
  • Palos Park, IL
  • NPI 1932526944
  Medicare reassignment NPD Authorized official
• Stevens Enterprises Inc.

  • Hearing Aid Equipment
  • Palos Park, IL
  • NPI 1841599263
  NPD (past)

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1164635280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12910 S LA GRANGE RD",
            "city": "PALOS PARK",
            "state": "IL",
            "postal_code": "604641717",
            "telephone_number": "708-448-1234",
            "fax_number": "708-448-1402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12910 S LA GRANGE RD",
            "city": "PALOS PARK",
            "state": "IL",
            "postal_code": "604641717",
            "telephone_number": "708-448-1234",
            "fax_number": "708-448-1402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNERS",
        "first_name": "KRISTEN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-07",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IL",
            "license": "147-000952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacey Ann Carroll, MA CCC SLP
• Corey L Cashen, PSY.D.
• Greganthony A Cleofe, DC
• Kiann T Cleofe, DC
• Jennifer Colclasure, PHARMD
• Corazon R Benig MD SC
• Lisa Sharon Cushing, PHD, BCBA
• Michelle L Dalton, FNP
• Helena Davis, FNP-BC
• Terence A Deady, D.D.S.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; 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.