Liberty Traditional Charter School

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

LIBERTY TRADITIONAL CHARTER SCHOOL

Practice address

4027 N 45TH Ave
Phoenix, AZ 85031-2840

Phone

(602) 442-8791

NPI assigned

Jun 17, 2009

Last updated

Jun 17, 2009By 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

Reana Janes

Title

Ceo/President

Phone

(602) 442-8791

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jacqueline Michele Greenfield, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Cave Creek, AZ
  • NPI 1245554807
  NPD (past)

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

{
    "created_epoch": "1245196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245196800000",
    "number": "1033346093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 E GRANT RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857153860",
            "telephone_number": "602-442-8791",
            "fax_number": "602-353-9270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4027 N 45TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850312840",
            "telephone_number": "602-442-8791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY TRADITIONAL CHARTER SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-17",
        "last_updated": "2009-06-17",
        "status": "A",
        "authorized_official_last_name": "JANES",
        "authorized_official_first_name": "REANA",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "602-442-8791"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Liberty Home LLC
• Liberty Hospice & Palliative Care, Inc
• Liberty Hospice LLC
• Liberty III Management TR (Professional Medical Oxygen)
• Liberty Manor Residency, Inc.
• Libery Manor Resideny, Inc. (Liber Manor Residency 2)
• Kyndra Monique Liburd, MD
• Shannon T. Licano
• Michelle Marie Licavoli
• Regan Lichtenberg

• Local Education Agency (LEA) in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Local Education Agency (LEA) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2009; 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.