County of Canyon Canyon Co School Dist 132

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

COUNTY OF CANYON CANYON CO SCHOOL DIST 132

Practice address

1101 Cleveland Blvd
Caldwell, ID 83605-3855

Phone

(208) 455-3300

Fax

(208) 455-3302

NPI assigned

Feb 5, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Todd Kenneth Levesque

Title

Systems Manager

Phone

(208) 922-3093

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1053450429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 E FAIRVIEW AVE STE 201",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836421733",
            "telephone_number": "208-922-3093",
            "fax_number": "208-922-9351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 CLEVELAND BLVD",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836053855",
            "telephone_number": "208-455-3300",
            "fax_number": "208-455-3302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF CANYON CANYON CO SCHOOL DIST 132",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "LEVESQUE",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "KENNETH",
        "authorized_official_title_or_position": "SYSTEMS MANAGER",
        "authorized_official_telephone_number": "208-922-3093",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "ID",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "804005800",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Nichole Ruth Cortez, RDN
• Kevin Charles Cotter, O.D.
• George Thomas Cox III, PT
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• Travis Blake Craig, DPT
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• Ashley Croft, PMHNP-BC

• Local Education Agency (LEA) in Caldwell, ID
• Providers in Caldwell, ID by specialty
• Local Education Agency (LEA) in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; 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.