Active NPI
Donald Roger Schertz
- Speech-Language Pathologist
- Auburn, WA
National Provider Identifier
1124812409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 61597195
- Practice address
- 1314 Auburn Way N
Auburn, WA 98002-4109 - Phone
- (237) 253-3405
- NPI assigned
- Apr 9, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 61597195 | WA | Primary |
Addresses
Primary practice location
1314 Auburn Way N
Auburn, WA 98002-4109
Mailing address
1314 Auburn Way N
Auburn, WA 98002-4109
Phone (237) 253-3405
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61597195 | WA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1744156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744156800000",
"number": "1124812409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1314 AUBURN WAY N",
"city": "AUBURN",
"state": "WA",
"postal_code": "980024109",
"telephone_number": "237-253-3405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1314 AUBURN WAY N",
"city": "AUBURN",
"state": "WA",
"postal_code": "980024109",
"telephone_number": "237-253-3405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHERTZ",
"first_name": "DONALD",
"middle_name": "ROGER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-04-09",
"last_updated": "2025-04-09",
"certification_date": "2025-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WA",
"license": "61597195",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Auburn, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.