Individual provider Active NPI

Paula Michelle Scharuda, MAED/SPE

  • Contractor
  • Temple Terrace, FL
National Provider Identifier
1356035810
Registry record updated Jun 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
License
1256059 Issued in FL
Practice address
13243 Sanctuary Cove Dr Unit 201
Temple Terrace, FL 33637-2121
Phone
(678) 953-0668
NPI assigned
Jun 7, 2023
Last updated
Jun 9, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Day Training/Habilitation Specialist 373H00000X 1256059 FL
Contractor 171W00000X 1256059 FL Primary

Addresses

Primary practice location

13243 Sanctuary Cove Dr Unit 201
Temple Terrace, FL 33637-2121

Mailing address

13243 Sanctuary Cove Dr Unit 201
Temple Terrace, FL 33637-2121
Phone (678) 953-0668

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

LicenseStateTypeSpecialty
1256059FLMDContractor

NPI Registry JSON

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

{
    "created_epoch": "1686096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686268800000",
    "number": "1356035810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13243 SANCTUARY COVE DR UNIT 201",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336372121",
            "telephone_number": "678-953-0668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13243 SANCTUARY COVE DR UNIT 201",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336372121",
            "telephone_number": "678-953-0668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHARUDA",
        "first_name": "PAULA",
        "middle_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "MAED/SPE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-07",
        "last_updated": "2023-06-09",
        "certification_date": "2023-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "373H00000X",
            "taxonomy_group": "",
            "desc": "Day Training/Habilitation Specialist",
            "state": "FL",
            "license": "1256059",
            "primary": false
        },
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "FL",
            "license": "1256059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple Terrace, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2023; 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.