Individual provider Active NPI

Johnny Scheler, MA - CCC - SLP

  • Speech-Language Pathologist
  • Portland, OR
National Provider Identifier
1316304157
Registry record updated Jan 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
16333 Issued in CA
Practice address
4560 SE International Way Ste 100
Portland, OR 97222-4628
Phone
(661) 699-3919
NPI assigned
Jan 25, 2016
Last updated
Jan 25, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2016

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 16333 CA Primary

Addresses

Primary practice location

4560 SE International Way Ste 100
Portland, OR 97222-4628

Mailing address

10504 Valverde Dr
Bakersfield, CA 93311-8904
Phone (661) 699-3919

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
16333CAMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1453680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453680000000",
    "number": "1316304157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10504 VALVERDE DR",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933118904",
            "telephone_number": "661-699-3919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4560 SE INTERNATIONAL WAY STE 100",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972224628",
            "telephone_number": "661-699-3919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHELER",
        "first_name": "JOHNNY",
        "name_prefix": "Mr.",
        "credential": "MA - CCC - SLP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-01-25",
        "last_updated": "2016-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "16333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2016; 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.