Elaine Doerfler, MS, CCC/SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

1212 Issued in ND

Practice address

1876 Charleswood Estates Dr
West Fargo, ND 58078-4203

Phone

(701) 866-9934

NPI assigned

May 17, 2012

Last updated

Jun 16, 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Myna Therapy Services PLLC

  • Multi-Specialty Clinic/Center
  • Fargo, ND
  • NPI 1427788629

  Speech-Language Pathologist

  Medicare reassignment NPD Authorized official
• Big Stone Therapies Fargo, Inc

  • Physical Therapy Clinic/Center
  • Fargo, ND
  • NPI 1194021873
  Medicare reassignment NPD
• Myna Early Intervention LLC

  • Early Intervention Provider Agency
  • Fargo, ND
  • NPI 1639981343
  NPD (past) Authorized official
• Kennelly Speech Language Pathology LTD

  dba Onword therapy

  • Speech-Language Pathologist
  • Fargo, ND
  • NPI 1154370187
  NPD (past)

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

{
    "created_epoch": "1337212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655337600000",
    "number": "1124388731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1876 CHARLESWOOD ESTATES DR",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580784203",
            "telephone_number": "701-866-9934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1876 CHARLESWOOD ESTATES DR",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580784203",
            "telephone_number": "701-866-9934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOERFLER",
        "first_name": "ELAINE",
        "credential": "MS, CCC/SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-17",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ND",
            "license": "1212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Diede, MS/CCC-SLP
• Renee Diekman
• Steven Michael Diekman, D.D.S.
• Divine Allen's Healthcare LLC
• David D Dobmeier, D.D.S.
• Kingsley Dohnwana
• Audrey Dominguez
• Sanjuanita Dominguez
• Stacy Donahue
• Alfonso Mawotee Dormu

• Speech-Language Pathologist in West Fargo, ND
• Providers in West Fargo, ND by specialty
• Speech-Language Pathologist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.