Active NPI
Kristine Vins
- Athletic Trainer
- Western Springs, IL
National Provider Identifier
1407349467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 096002966
- Practice address
- 4900 Willow Springs Rd
Western Springs, IL 60558-1795 - Phone
- (708) 579-6569
- NPI assigned
- Jun 13, 2018
- 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 096002966 | IL | Primary |
Addresses
Primary practice location
4900 Willow Springs Rd
Western Springs, IL 60558-1795
Mailing address
4900 Willow Springs Rd
Western Springs, IL 60558-1795
Phone (708) 579-6569
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 096002966 | IL | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528848000000",
"number": "1407349467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4900 WILLOW SPRINGS RD",
"city": "WESTERN SPRINGS",
"state": "IL",
"postal_code": "605581795",
"telephone_number": "708-579-6569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4900 WILLOW SPRINGS RD",
"city": "WESTERN SPRINGS",
"state": "IL",
"postal_code": "605581795",
"telephone_number": "708-579-6569"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VINS",
"first_name": "KRISTINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-13",
"last_updated": "2018-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "IL",
"license": "096002966",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Western Springs, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.