Organization Active NPI

Trester Family Medical Group

  • Internal Medicine Physician
  • Plano, TX
National Provider Identifier
1457465486
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
F4313 Issued in TX
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

Updated by the provider on Sep 11, 2025

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X F4313 TX Primary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
15443MedicaidTX
0056MSOtherTXBC/BS ID NUMBER
10011656MedicaidTX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.