Active NPI
Kristen E Streid, AUD
- Audiologist
- Glen Ellyn, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 147001312
- Practice address
- 430 Pennsylvania Ave
Glen Ellyn, IL 60137 - Phone
- (630) 545-7576
- NPI assigned
- Jun 22, 2009
- 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 | 147001312 | IL | Primary |
Addresses
Primary practice location
430 Pennsylvania Ave
Glen Ellyn, IL 60137
Mailing address
PO Box 713260
Chicago, IL 60677-1260
Phone (630) 469-9200
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kstreid179419@direct.edward.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
430 Pennsylvania Ave
Glen Ellyn, IL 60137-4464
Phone (630) 469-9200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 147001312 | IL | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DRS. Girgis & Associates, S.C. | Current | Accepting new patients | |
| Dupage Medical Group LTD | Current | Accepting new patients | |
| Dupage Medical Group LTD | Current | Accepting new patients |
Locations
30 Stratford Dr
Bloomingdale, IL 60108
Phone (630) 893-2210
1860 Paysphere Cir
Chicago, IL 60674
Phone (630) 469-2000
430 Pennsylvania Ave
Glen Ellyn, IL 60137
Phone (630) 545-7576
908 N Elm St
Ste 306
Hinsdale, IL 60521
Phone (630) 323-5214
5201 Willow Springs Rd
Ste 240
La Grange Highlands, IL 60525
Phone (630) 323-5214
Interoperability endpoints
- kstreid179419@direct.edward.org
- kristenstreid@puget-sound-hearing.direct.kno2fy.com
Organizations & group practices 3
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.
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- NPI 1013946201
-
- Durable Medical Equipment & Medical Supplies
- Glen Ellyn, IL
- NPI 1760979447
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690243200000",
"number": "1164659769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 713260",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606771260",
"telephone_number": "630-469-9200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "430 PENNSYLVANIA AVE",
"city": "GLEN ELLYN",
"state": "IL",
"postal_code": "60137",
"telephone_number": "630-545-7576"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STREID",
"first_name": "KRISTEN",
"middle_name": "E",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-22",
"last_updated": "2023-07-25",
"certification_date": "2022-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "IL",
"license": "147001312",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kstreid179419@direct.edward.org",
"affiliation": "N",
"address_1": "430 Pennsylvania Ave",
"city": "Glen Ellyn",
"state": "IL",
"country_code": "US",
"postal_code": "60137",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Glen Ellyn, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2023; 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.