Individual provider Active NPI

McKenna Rain Walker, AUD

  • Audiologist
  • Aurora, CO
National Provider Identifier
1255988374
Registry record updated Mar 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
1098 Issued in CO
Practice address
1399 S Havana St Ste 102
Aurora, CO 80012-4041
Phone
(303) 337-9699
NPI assigned
Aug 22, 2019
Last updated
Mar 1, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X A-2621 NV
Audiologist 231H00000X 1098 CO Primary

Addresses

Primary practice location

1399 S Havana St Ste 102
Aurora, CO 80012-4041

Mailing address

1399 S Havana St Ste 102
Aurora, CO 80012-4041
Phone (303) 337-9699

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220421001539 CO Practitioner - Qualified Audiologist 3476884016
I20250430003128 CA Practitioner - Qualified Audiologist 3476884016 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orange County Physicians Hearing Services IncGroup PAC ID 5395771901, 9 clinicians

Practice addresses (Care Compare)

26726 Crown Valley Pkwy
Suite 210
Mission Viejo, CA 92691-8006
Phone (949) 276-4008

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1098COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Orange County Physicians Hearing Services Inc Audiologist CurrentSince Mar 13, 2025 Accepting new patients

Locations

26726 Crown Valley Pkwy
Ste 210
Mission Viejo, CA 92691
Phone (949) 276-4008

675 Camino de los Mares
Ste 420
San Clemente, CA 92673
Phone (949) 276-4008

Interoperability endpoints

  • Direct secure messaging: mckenna.walker.p21@direct.monarchhealthcare.nextgenshare.com

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1566432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646092800000",
    "number": "1255988374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1399 S HAVANA ST STE 102",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800124041",
            "telephone_number": "303-337-9699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1399 S HAVANA ST STE 102",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800124041",
            "telephone_number": "303-337-9699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "MCKENNA",
        "middle_name": "RAIN",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-22",
        "last_updated": "2022-03-01",
        "certification_date": "2022-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NV",
            "license": "A-2621",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CO",
            "license": "1098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.