Active NPI
Marla Trombetta, M.A.
- Audiologist
- Lake Barrington, IL
National Provider Identifier
1548387491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- Practice address
- 5063 Shoreline Rd
Lake Barrington, IL 60010-1700 - Phone
- (847) 382-6010
- NPI assigned
- Mar 24, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | IL | Primary |
Addresses
Primary practice location
5063 Shoreline Rd
Lake Barrington, IL 60010-1700
Mailing address
1107 Cornell Ave
Prospect Heights, IL 60070-2901
Phone (847) 506-9254
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04793 | Other | IL | HEAR USA NECP PROVIDER NO |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 147-000077 | IL | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1548387491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1107 CORNELL AVE",
"city": "PROSPECT HEIGHTS",
"state": "IL",
"postal_code": "600702901",
"telephone_number": "847-506-9254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5063 SHORELINE RD",
"city": "LAKE BARRINGTON",
"state": "IL",
"postal_code": "600101700",
"telephone_number": "847-382-6010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TROMBETTA",
"first_name": "MARLA",
"credential": "M.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEAR USA NECP PROVIDER NO",
"identifier": "04793",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lake Barrington, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.