Organization Active NPI

Northern Lights Academy

  • Local Education Agency (LEA)
  • Cloquet, MN
National Provider Identifier
1043723224
Registry record updated Dec 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
NORTHERN LIGHTS ACADEMY
Practice address
302 14TH St
Cloquet, MN 55720-2102
Phone
(218) 879-1283
NPI assigned
Nov 10, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2017

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

Authorized official

Name
Dena Hagen
Title
Special Education Director
Phone
(218) 879-1283

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X Primary

Addresses

Primary practice location

302 14TH St
Cloquet, MN 55720-2102

Mailing address

302 14TH St
Cloquet, MN 55720-2102
Phone (218) 879-1283

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1510272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512518400000",
    "number": "1043723224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 14TH ST",
            "city": "CLOQUET",
            "state": "MN",
            "postal_code": "557202102",
            "telephone_number": "218-879-1283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 14TH ST",
            "city": "CLOQUET",
            "state": "MN",
            "postal_code": "557202102",
            "telephone_number": "218-879-1283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN LIGHTS ACADEMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-10",
        "last_updated": "2017-12-06",
        "status": "A",
        "authorized_official_last_name": "HAGEN",
        "authorized_official_first_name": "DENA",
        "authorized_official_title_or_position": "SPECIAL EDUCATION DIRECTOR",
        "authorized_official_telephone_number": "218-879-1283"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cloquet, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2017; 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.