Individual provider Active NPI

Alyssa Vanparis Forand, MHS

  • Speech-Language Pathologist
  • Chicago, IL
National Provider Identifier
1649680323
Registry record updated Oct 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146012377 Issued in IL
Practice address
1943 W Oakdale Ave Apt 2
Chicago, IL 60657-4025
Phone
(314) 541-7477
NPI assigned
May 2, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 146012377 IL Primary

Addresses

Primary practice location

1943 W Oakdale Ave Apt 2
Chicago, IL 60657-4025

Mailing address

1943 W Oakdale Ave Apt 2
Chicago, IL 60657-4025
Phone (314) 541-7477

Other identifiers 1

IdentifierTypeStateIssuer
146012377OtherILILLINOIS DEPARTMENT OF PROFESSIONAL REGULATION

Other names 1

  • Alyssa Nicole Van Paris Former name

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

State licenses

LicenseStateTypeSpecialty
146012377ILMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1398988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634601600000",
    "number": "1649680323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1943 W OAKDALE AVE APT 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606574025",
            "telephone_number": "314-541-7477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1943 W OAKDALE AVE APT 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606574025",
            "telephone_number": "314-541-7477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORAND",
        "first_name": "ALYSSA",
        "middle_name": "VANPARIS",
        "credential": "MHS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-02",
        "last_updated": "2021-10-19",
        "certification_date": "2021-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146012377",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILLINOIS DEPARTMENT OF PROFESSIONAL REGULATION",
            "identifier": "146012377",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALYSSA",
            "last_name": "VAN PARIS",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2021; 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.