Usd 114 Riverside

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

USD 114 RIVERSIDE

Practice address

203-04 N 12TH
Elwood, KS 66024-0368

Phone

(913) 365-5632

NPI assigned

Apr 29, 2013

Last updated

Apr 29, 2013By the provider in NPPES

Organization subpart

Yes

Parent organization

DONIPHAN COUNTY EDUCATION COOPERATIVE #616As reported in NPPES

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

Authorized official

Name

Mike Newman

Title

Superintendent

Phone

(913) 365-5967

Specialties & licenses 1

Addresses

Part of

Doniphan County Education Cooperative

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

{
    "created_epoch": "1367193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367193600000",
    "number": "1013351428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 368",
            "address_2": "203-04 N 12TH",
            "city": "ELWOOD",
            "state": "KS",
            "postal_code": "660240368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203-04 N 12TH",
            "city": "ELWOOD",
            "state": "KS",
            "postal_code": "660240368",
            "telephone_number": "913-365-5632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USD 114 RIVERSIDE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DONIPHAN COUNTY EDUCATION COOPERATIVE #616",
        "enumeration_date": "2013-04-29",
        "last_updated": "2013-04-29",
        "status": "A",
        "authorized_official_last_name": "NEWMAN",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "913-365-5967"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clearsky Rehabilitation Hospital of Elwood St Joseph LLC
• Doniphan County Services & Workskills
• Beth Ann Shelton, M.D.
• Usd 486 Elwood
• Kayla Vinson, COTA
• Payton Michelle Wolff, DNP

• Local Education Agency (LEA) in Elwood, KS
• Providers in Elwood, KS by specialty
• Local Education Agency (LEA) in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2013; 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.