Organization Active NPI

School Dist Mt Vernon

  • Local Education Agency (LEA)
  • Mount Vernon, MO
National Provider Identifier
1033250790
Registry record updated Jun 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
SCHOOL DIST MT VERNON
Practice address
731 S Landrum St
Mount Vernon, MO 65712-1723
Phone
(417) 466-7573
Fax
(417) 466-7058
NPI assigned
Feb 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2016

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

Authorized official

Name
Lisa Barnes
Title
Student Services Secretary
Phone
(417) 446-7573

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X
Local Education Agency (LEA) 251300000X Primary

Addresses

Primary practice location

731 S Landrum St
Mount Vernon, MO 65712-1723

Mailing address

731 S Landrum St
Mount Vernon, MO 65712-1723
Phone (417) 466-7573

Other identifiers 1

IdentifierTypeStateIssuer
506077601MedicaidMO

National Provider Directory

National Provider Directory

Locations

731 S Landrum St
Mount Vernon, MO 65712
Phone (417) 466-7573

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465862400000",
    "number": "1033250790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 S LANDRUM ST",
            "city": "MOUNT VERNON",
            "state": "MO",
            "postal_code": "657121723",
            "telephone_number": "417-466-7573",
            "fax_number": "417-466-7058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 S LANDRUM ST",
            "city": "MOUNT VERNON",
            "state": "MO",
            "postal_code": "657121723",
            "telephone_number": "417-466-7573",
            "fax_number": "417-466-7058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHOOL DIST MT VERNON",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2016-06-14",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "STUDENT SERVICES SECRETARY",
        "authorized_official_telephone_number": "417-446-7573"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "506077601",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2016; 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.