Owl Charter Academy

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

OWL CHARTER ACADEMY

Practice address

4164 E Amity
Nampa, ID 83687

Phone

(208) 461-1279

NPI assigned

Dec 2, 2010

Last updated

Dec 2, 2010By 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

Celeste Blackburn

Title

Account Admin

Phone

(208) 922-9300

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1291248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291248000000",
    "number": "1023310695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4164 E AMITY",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "83687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4164 E AMITY",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "83687",
            "telephone_number": "208-461-1279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OWL CHARTER ACADEMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-02",
        "last_updated": "2010-12-02",
        "status": "A",
        "authorized_official_last_name": "BLACKBURN",
        "authorized_official_first_name": "CELESTE",
        "authorized_official_title_or_position": "ACCOUNT ADMIN",
        "authorized_official_telephone_number": "208-922-9300"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "ID",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roger Keith Ottman, MD
• Jennifer R Ousley-Trevett, PT
• Cherlindrea A Overstreet, DO
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• Michael John Owens, PT
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• Trey Lennis Cecil Oxford III, M.D.
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• Benjamin David Pacheco, PHARMD
• Bruce F. Pagano II, LCPC, NCC

• Local Education Agency (LEA) in Nampa, ID
• Providers in Nampa, ID by specialty
• Local Education Agency (LEA) in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2010; 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.