Active NPI
Trester Family Medical Group
- Internal Medicine Physician
- Plano, TX
National Provider Identifier
1457465486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- F4313
- Legal business name
- TRESTER FAMILY MEDICAL GROUP
- Practice address
- 900 E Park Blvd
Suite 280
Plano, TX 75074-5465 - Phone
- (972) 424-7000
- Fax
- (972) 424-7001
- NPI assigned
- Aug 18, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Kimberly Keen Trester III, NP
- Title
- President
- Phone
- (972) 424-7000
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | F4313 | TX | Primary |
| Family Nurse Practitioner | 363LF0000X | 633384 | TX |
Addresses
Primary practice location
900 E Park Blvd
Suite 280
Plano, TX 75074-5465
Mailing address
900 E Park Blvd
Suite 280
Plano, TX 75074-5465
Phone (972) 424-7000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 15443 | Medicaid | TX | |
| 0056MS | Other | TX | BC/BS ID NUMBER |
| 10011656 | Medicaid | TX |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Jbsa Lackland, TX
- NPI 1003814294
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155859200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1457465486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 E PARK BLVD",
"address_2": "SUITE 280",
"city": "PLANO",
"state": "TX",
"postal_code": "750745465",
"telephone_number": "972-424-7000",
"fax_number": "972-424-7001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 E PARK BLVD",
"address_2": "SUITE 280",
"city": "PLANO",
"state": "TX",
"postal_code": "750745465",
"telephone_number": "972-424-7000",
"fax_number": "972-424-7001"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRESTER FAMILY MEDICAL GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-18",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "TRESTER",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_middle_name": "KEEN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "972-424-7000",
"authorized_official_name_prefix": "Ms.",
"authorized_official_name_suffix": "III",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "TX",
"license": "F4313",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "633384",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "15443",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS ID NUMBER",
"identifier": "0056MS",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10011656",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.