Athlos Academy

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

ATHLOS ACADEMY

Practice address

12309 Mustang Trail Way
Herriman, UT 84096-5691

Phone

(180) 143-8461

NPI assigned

Feb 19, 2021

Organization subpart

No

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

Authorized official

Name

Shylah Poirier

Title

Special Ed Director

Phone

(801) 438-4619

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1613692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613692800000",
    "number": "1013500099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12309 MUSTANG TRAIL WAY",
            "city": "HERRIMAN",
            "state": "UT",
            "postal_code": "840965691",
            "telephone_number": "801-438-4619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12309 MUSTANG TRAIL WAY",
            "city": "HERRIMAN",
            "state": "UT",
            "postal_code": "840965691",
            "telephone_number": "180-143-8461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATHLOS ACADEMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-19",
        "last_updated": "2021-02-19",
        "certification_date": "2021-02-19",
        "status": "A",
        "authorized_official_last_name": "POIRIER",
        "authorized_official_first_name": "SHYLAH",
        "authorized_official_title_or_position": "SPECIAL ED DIRECTOR",
        "authorized_official_telephone_number": "801-438-4619"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Other",
            "affiliation": "N",
            "endpointDescription": "Other",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Other",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Other",
            "address_1": "12309 Mustang Trail Way",
            "city": "Herriman",
            "state": "UT",
            "country_code": "US",
            "postal_code": "840965691",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Local Education Agency (LEA) in Herriman, UT
• Providers in Herriman, UT by specialty
• Local Education Agency (LEA) in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2021; 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.