Kimberly Caroline Scarsdale, CFY-SLP

Primary specialty

Speech/Language/Hearing Specialist/TechnologistTaxonomy code 235500000X

License

SP2769 Issued in AR

Practice address

3901 Parkway Cir
Springdale, AR 72762-6362

Phone

(479) 295-0316

NPI assigned

Jan 8, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668556800000",
    "number": "1982752002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 BLIZZEN LN",
            "city": "BELLA VISTA",
            "state": "AR",
            "postal_code": "727143236",
            "telephone_number": "479-295-0316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 PARKWAY CIR",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727626362",
            "telephone_number": "479-295-0316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCARSDALE",
        "first_name": "KIMBERLY",
        "middle_name": "CAROLINE",
        "credential": "CFY-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "LA",
            "license": "5683",
            "primary": false
        },
        {
            "code": "235500000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist",
            "state": "AR",
            "license": "SP2769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Saveritt Pediatrics PLLC
• Shana Sayle
• Kim Saylors
• Robert L Saylors III, MD
• Dwight Owen Sayre
• Wendy Schacter
• Greg Allen Schader, MHPP
• Kelli Schaedel Kitchens, OD
• Gerald Bradley Schaefer, MD
• Joseph M Schaefer Jr., PTA

• Speech/Language/Hearing Specialist/Technologist in Springdale, AR
• Providers in Springdale, AR by specialty
• Speech/Language/Hearing Specialist/Technologist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2022; 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.