Alyssa L Fuggiti, CCC-SLP/L

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146.011095 Issued in IL

Practice address

1870 W Winchester Rd
Suite 203
Libertyville, IL 60048-5358

Phone

(847) 816-7200

Fax

(847) 816-7210

NPI assigned

Jun 27, 2012

Last updated

Jun 27, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1340755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340755200000",
    "number": "1013271774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7635",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600487635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1870 W WINCHESTER RD",
            "address_2": "SUITE 203",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600485358",
            "telephone_number": "847-816-7200",
            "fax_number": "847-816-7210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUGGITI",
        "first_name": "ALYSSA",
        "middle_name": "L",
        "credential": "CCC-SLP/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-27",
        "last_updated": "2012-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.011095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Nicole Friedrichs, M.S., CCC-SLP
• Matthew Frisque
• Maureen Fritz, DPT
• Dina M Froustis, APRN, NP-C
• Elizabeth Fuentes, CCC SLP
• Ann Elizabeth Fulk, MSW
• Anuja Gadgil, PSYD
• Danielle L Gaffke, LCSW
• Christine Bertaud Gaiden, MPT
• Maxine Gal, MA,CCC-SLP

• Speech-Language Pathologist in Libertyville, IL
• Providers in Libertyville, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2012; 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.