Active NPI
School Dist Mt Vernon
- Local Education Agency (LEA)
- Mount Vernon, MO
National Provider Identifier
1033250790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Local Education Agency (LEA)
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | |||
| Occupational Therapist | 225X00000X | |||
| Speech-Language Pathologist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 506077601 | Medicaid | MO |
National Provider Directory
National Provider DirectoryLocations
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.