NPIMap

Organization Active NPI

Diverse Foresight, Inc.

Doing business as Ms. Paula, SLP

  • Speech-Language Pathologist
  • Wilmette, IL
National Provider Identifier
1639786429
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
DIVERSE FORESIGHT, INC.
Doing business as
Ms. Paula, SLP
Practice address
1936 Lake Ave
Wilmette, IL 60091-1465
Phone
(847) 901-3262
Fax
(847) 901-3362
NPI assigned
Sep 25, 2020
Last updated
Jun 6, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2024

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

Authorized official

Name
Paula Yanez Acuna, M.A., CCC-SLPNPI 1902338494
Title
President
Phone
(847) 901-3262

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X NU Primary

Addresses

Primary practice location

1936 Lake Ave
Wilmette, IL 60091-1465

Mailing address

1936 Lake Ave
Wilmette, IL 60091-1465
Phone (847) 901-3262

Other names 1

  • Ms. Paula, SLP Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address paula@mspaulaslp.com Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1600992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717632000000",
    "number": "1639786429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1936 LAKE AVE",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600911465",
            "telephone_number": "847-901-3262",
            "fax_number": "847-901-3362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1936 LAKE AVE",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600911465",
            "telephone_number": "847-901-3262",
            "fax_number": "847-901-3362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVERSE FORESIGHT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-25",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A",
        "authorized_official_last_name": "ACUNA",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "YANEZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-901-3262",
        "authorized_official_credential": "M.A., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "paula@mspaulaslp.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1936 Lake Ave",
            "city": "Wilmette",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600911465",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Ms. Paula, SLP",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ms. Paula, SLP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wilmette, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; 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.