Alyssa Anne Van Vossen, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

117776 Issued in TX

Practice address

10203 Birchridge Dr
Humble, TX 77338-2200

Phone

(281) 641-1000

NPI assigned

Aug 19, 2022

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

Electronic endpoints 1

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": "1660867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1336867811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17401 W LAKE HOUSTON PKWY APT 1205",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773464997",
            "telephone_number": "651-207-3911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10203 BIRCHRIDGE DR",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773382200",
            "telephone_number": "281-641-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13515 Valley Lodge Pkwy",
            "address_purpose": "LOCATION",
            "city": "Atascocita",
            "state": "TX",
            "postal_code": "773463760",
            "country_code": "US",
            "telephone_number": "281-641-3600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAN VOSSEN",
        "first_name": "ALYSSA",
        "middle_name": "ANNE",
        "name_prefix": "Miss",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-19",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "117776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "avanvos@humbleisd.net",
            "affiliation": "N",
            "endpointDescription": "Business Email",
            "address_1": "10203 Birchridge Dr",
            "city": "Humble",
            "state": "TX",
            "country_code": "US",
            "postal_code": "773382200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; 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.