NPIMap

Organization Active NPI

Rockford School District

  • Student Health Clinic/Center
  • Rockford, IL
National Provider Identifier
1033478383
Registry record updated May 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
License
041.143917 Issued in IL
Legal business name
ROCKFORD SCHOOL DISTRICT
Practice address
401 N Gardiner Ave
Rockford, IL 61107-4338
Phone
(815) 398-3976
NPI assigned
May 7, 2012
Last updated
May 7, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2012

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

Authorized official

Name
Mrs. Susan Fraser Simmerman
Title
Certified School Nurse
Phone
(815) 398-3976

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student Health Clinic/Center 261QS1000X 041.143917 IL Primary

Addresses

Primary practice location

401 N Gardiner Ave
Rockford, IL 61107-4338

Mailing address

401 N Gardiner Ave
Rockford, IL 61107-4338
Phone (815) 398-3976

National Provider Directory

National Provider Directory
Tax ID family
Rockford Public Schools3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1336348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336348800000",
    "number": "1033478383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 N GARDINER AVE",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611074338",
            "telephone_number": "815-398-3976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 N GARDINER AVE",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611074338",
            "telephone_number": "815-398-3976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKFORD SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-07",
        "last_updated": "2012-05-07",
        "status": "A",
        "authorized_official_last_name": "SIMMERMAN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "FRASER",
        "authorized_official_title_or_position": "CERTIFIED SCHOOL NURSE",
        "authorized_official_telephone_number": "815-398-3976",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "IL",
            "license": "041.143917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2012; 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.