Individual provider Active NPI

Carol Elizabeth Scharfer, M.S.CCC-SLP

  • Speech-Language Pathologist
  • Salem, OR
National Provider Identifier
1083712129
Registry record updated Jul 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
10384 Issued in OR
Practice address
Skyline Medical Office
5125 Skyline Road, South
Salem, OR 97306-9427
Phone
(503) 315-4661
NPI assigned
Sep 20, 2006
Last updated
Jul 17, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 10384 OR Primary

Addresses

Primary practice location

Skyline Medical Office
5125 Skyline Road, South
Salem, OR 97306-9427

Mailing address

Skyline Medical Office
5125 Skyline Road, South
Salem, OR 97306-9413
Phone (503) 315-4661

Other names 1

  • Mrs. Carol Elizabeth Engdall Other 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)
Enrolled

State licenses

LicenseStateTypeSpecialty
10384ORMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184630400000",
    "number": "1083712129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SKYLINE MEDICAL OFFICE",
            "address_2": "5125 SKYLINE ROAD, SOUTH",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973069413",
            "telephone_number": "503-315-4661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SKYLINE MEDICAL OFFICE",
            "address_2": "5125 SKYLINE ROAD, SOUTH",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973069427",
            "telephone_number": "503-315-4661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHARFER",
        "first_name": "CAROL",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "M.S.CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OR",
            "license": "10384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROL",
            "last_name": "ENGDALL",
            "middle_name": "ELIZABETH",
            "prefix": "MRS.",
            "credential": "M.S.CCC-SLP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Salem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2007; 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.