Melissa K Flies, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146-007040 Issued in IL

Practice address

901 Grant St
Harvard, IL 60033-1821

Phone

(815) 943-5431

Fax

(815) 943-0659

NPI assigned

Aug 14, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Melissa K Janvrin Former name

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": "1439510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439510400000",
    "number": "1891161709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 GRANT ST",
            "city": "HARVARD",
            "state": "IL",
            "postal_code": "600331821",
            "telephone_number": "815-943-5431",
            "fax_number": "815-943-0659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 GRANT ST",
            "city": "HARVARD",
            "state": "IL",
            "postal_code": "600331821",
            "telephone_number": "815-943-5431",
            "fax_number": "815-943-0659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLIES",
        "first_name": "MELISSA",
        "middle_name": "K",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-14",
        "last_updated": "2015-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146-007040",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "4170-154",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "JANVRIN",
            "middle_name": "K",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Shawn D Davenport, PT
• Evelyn L Dawis, MD
• Sammy T Dean, MD
• Tina Dilts
• Norma G Figueroa, LCSW
• Lauren Flood
• Linda Marie Freitag, MHS, CCC-SLP
• Victor I Garber, MD
• Geoffrey J Gentry, PT
• Elizabeth J Goad, RD

• Speech-Language Pathologist in Harvard, IL
• Providers in Harvard, 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 Aug 14, 2015; 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.