Katherine Hanta Wallisch, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP-2267 Issued in NV

Practice address

9260 W Sunset Rd Ste 204
Las Vegas, NV 89148-4903

Phone

(702) 355-9862

Fax

(888) 316-4826

NPI assigned

Feb 26, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Katherine Hanta Wallisch Professional name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Autism and Brain Institute Inc

  dba AAC Speech Clinic

  • Occupational Therapist
  • Las Vegas, NV
  • NPI 1891455309

  Speech-Language Pathologist

  NPD Authorized official
• Autism Diagnostic Services LLC

  • Pediatric Neurodevelopmental Disabilities Physician
  • Las Vegas, NV
  • NPI 1326721028

  Speech-Language Pathologist

  NPD Authorized official
• The Aac Speech Clinic, LLC

  • Speech-Language Pathologist
  • Las Vegas, NV
  • NPI 1417454612

  Assistive Technology Practitioner

  NPD Authorized official

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

{
    "created_epoch": "1519603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600732800000",
    "number": "1780185645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10300 W CHARLESTON BLVD, SUITE 13-J19",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891355008",
            "fax_number": "888-316-4826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9260 W SUNSET RD STE 204",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891484903",
            "telephone_number": "702-355-9862",
            "fax_number": "888-316-4826"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11091 Kilkerran Ct",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891414356",
            "country_code": "US",
            "telephone_number": "202-257-9432",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALLISCH",
        "first_name": "KATHERINE",
        "middle_name": "HANTA",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-26",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225CA2400X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor, Assistive Technology Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA3000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Augmentative Communication",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NV",
            "license": "SP-2267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://app.drchrono.com/accounts/login/",
            "affiliation": "N",
            "endpointDescription": "EMR System",
            "address_1": "9260 W Sunset Rd Ste 204",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891484903",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "WALLISCH",
            "middle_name": "HANTA",
            "credential": "M.S., CCC-SLP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Sandy Lashanna Waller
• Saulesh Waller
• Zachariah Waller
• Amanda Wallick
• Cierra Patricia Walling, BCBA
• Andrew Walls, M.D.
• Angela Walls
• Jason Walls
• Reba Walls
• Tammy Walls

• Speech-Language Pathologist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Speech-Language Pathologist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2020; 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.