Challsey Faye Scallon, RN-BSN

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Practice address

1014 4TH St NE
Devils Lake, ND 58301-2702

Phone

(013) 500-3257

NPI assigned

Feb 16, 2012

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1329350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603929600000",
    "number": "1992078364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1014 4TH ST NE",
            "city": "DEVILS LAKE",
            "state": "ND",
            "postal_code": "583012702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 4TH ST NE",
            "city": "DEVILS LAKE",
            "state": "ND",
            "postal_code": "583012702",
            "telephone_number": "013-500-3257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCALLON",
        "first_name": "CHALLSEY",
        "middle_name": "FAYE",
        "name_prefix": "Mrs.",
        "credential": "RN-BSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-16",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "ND",
            "license": "R36735",
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IHS",
            "identifier": "35541",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda J Sandbergwieser, MHT
• Destiney Sandvik
• Paul David Sanford
• Amanda Sapin
• Sara Kelner LPCC Lmac PLLC
• Tobey Deann Schall, FNP
• Jacinda Schell
• Patrick James Schmid, BSW
• Ava Schmidt-Boknecht, LAC
• Christine Sabrina Marie Schmitz

• Personal Care Attendant in Devils Lake, ND
• Providers in Devils Lake, ND by specialty
• Personal Care Attendant in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2020; 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.