McKenna Wall-Dunlap, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

202508 Issued in AK

Practice address

1327 Kalakaket St
Fairbanks, AK 99709-4917

Phone

(907) 452-4517

Fax

(907) 452-4263

NPI assigned

Jul 7, 2016

Last updated

Dec 2, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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

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.

• Talkabout Inc

  • Speech-Language Pathologist
  • Faribanks, AK
  • NPI 1679797450
  NPD (past)

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

{
    "created_epoch": "1467849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669939200000",
    "number": "1821440462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1327 KALAKAKET ST",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997094917",
            "telephone_number": "907-452-4517",
            "fax_number": "907-452-4263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1327 KALAKAKET ST",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997094917",
            "telephone_number": "907-452-4517",
            "fax_number": "907-452-4263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALL-DUNLAP",
        "first_name": "MCKENNA",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-07",
        "last_updated": "2022-12-02",
        "certification_date": "2022-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "AK",
            "license": "112765",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AK",
            "license": "185570",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AK",
            "license": "202508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Havilah Walker
• Kristina Lynn Walker, SLPA
• Matthew Aaron Walker
• Renee Walker
• Scott Eugene Walker, PHARMD
• Aaron B Wallace
• Victoria Anne Wallace, ANP
• Alf H. Walle
• Alicia Wallen
• Megan Yuk Fung Walleri, OTR/L

• Speech-Language Pathologist in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Speech-Language Pathologist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2022; 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.