Ellsworth School District

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

ELLSWORTH SCHOOL DISTRICT

Practice address

47 Old Ward Bridge Rd
Plymouth, NH 03264-1230

Phone

(603) 536-1254

NPI assigned

May 18, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gran Gonsalves

Title

Director of Special Education

Phone

(603) 536-1254

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013125426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 OLD WARD BRIDGE RD",
            "city": "PLYMOUTH",
            "state": "NH",
            "postal_code": "032641230",
            "telephone_number": "603-536-1254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 OLD WARD BRIDGE RD",
            "city": "PLYMOUTH",
            "state": "NH",
            "postal_code": "032641230",
            "telephone_number": "603-536-1254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLSWORTH SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GONSALVES",
        "authorized_official_first_name": "GRAN",
        "authorized_official_title_or_position": "DIRECTOR OF SPECIAL EDUCATION",
        "authorized_official_telephone_number": "603-536-1254"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "50006510",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anne Maureen Doyle, MA, CCC-SLP
• Jake Dreyfus
• Nancy Dyer, MSW, LADC
• Joseph A Ebner, MD
• Jovanna L Eisenbarth, CRNA
• John A. Eppolito Jr., MD
• Cherie Darlene Ertha, M.D.
• Christie L. Faella
• David S Fagan, MD
• Farleys Rexall Pharmacy Inc (Oliver Drug)

• Local Education Agency (LEA) in Plymouth, NH
• Providers in Plymouth, NH by specialty
• Local Education Agency (LEA) in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.