Individual provider Active NPI

Caralyn M Wasneechak, M.S. SLP

  • Speech-Language Pathologist
  • Chesapeake, VA
National Provider Identifier
1053676460
Registry record updated Jan 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
022003-1 Issued in NY
Practice address
1421 Kristina Way
Chesapeake, VA 23320-8917
Phone
(315) 272-5771
NPI assigned
Jul 11, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2202009207 VA
Speech-Language Pathologist 235Z00000X 022003-1 NY Primary

Addresses

Primary practice location

1421 Kristina Way
Chesapeake, VA 23320-8917

Mailing address

717 Shadowfield CT
Chesapeake, VA 23322-5873
Phone (315) 272-5771

Other names 1

  • Caralyn M Lopez 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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
022003-1NYMDSpeech-Language Pathologist
2202009207VAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1341964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768953600000",
    "number": "1053676460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 SHADOWFIELD CT",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233225873",
            "telephone_number": "315-272-5771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 KRISTINA WAY",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233208917",
            "telephone_number": "315-272-5771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASNEECHAK",
        "first_name": "CARALYN",
        "middle_name": "M",
        "credential": "M.S. SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-11",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202009207",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "022003-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARALYN",
            "last_name": "LOPEZ",
            "middle_name": "M",
            "credential": "M.S. SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2026; 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.