Jana Michelle Wallen, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

1622 Issued in KS

Practice address

3200 Mesa Way Ste D
Lawrence, KS 66049-2343

Phone

(785) 831-3053

NPI assigned

Aug 24, 2021

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sound Speech Therapy LLC

  • Speech-Language Pathologist
  • Lawrence, KS
  • NPI 1538759717

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1629763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629763200000",
    "number": "1194492595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 E 1279 RD",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660479612",
            "telephone_number": "178-533-1904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 MESA WAY STE D",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660492343",
            "telephone_number": "785-831-3053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLEN",
        "first_name": "JANA",
        "middle_name": "MICHELLE",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-24",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "KS",
            "license": "1622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andra M Walker, PA-C
• Erin Walker, LMSW
• Kelly Rhiannon Walker, T-LMSW
• Michelle Walker, DPT
• Terrahn Samara Wall, PHARMD
• Walmart Inc.
• Walmart Inc.
• Jakob Walter, PHARMD
• Molly M Walter, LPC
• Amanda Walters, PHARMD

• Speech-Language Pathologist in Lawrence, KS
• Providers in Lawrence, KS by specialty
• Speech-Language Pathologist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.