Breckenridge R-I School District

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

BRECKENRIDGE R-I SCHOOL DISTRICT

Practice address

400 W Colfax St
Breckenridge, MO 64625-9608

Phone

(660) 544-5715

Fax

(660) 644-5710

NPI assigned

Feb 6, 2007

Last updated

Jul 11, 2012By 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

Kimbra Mullenix

Title

District Coordinator

Phone

(660) 644-5715

Specialties & licenses 4

Addresses

Other identifiers 1

Locations

Practitioners 3

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.

• Harlie Mayson Crowe

  • Speech-Language Pathologist
  • Braymer, MO
  • NPI 1700607140
  NPD (past)
• Alicia M Rojas, MS CCC SLP

  • Speech-Language Pathologist
  • Breckenridge, MO
  • NPI 1639373541
  NPD (past)
• Patty L Stark, BA MS EDS

  • Speech-Language Pathologist
  • Breckenridge, MO
  • NPI 1114232188
  NPD (past)

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341964800000",
    "number": "1053450643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W COLFAX ST",
            "city": "BRECKENRIDGE",
            "state": "MO",
            "postal_code": "646259608",
            "telephone_number": "660-544-5715",
            "fax_number": "660-644-5710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W COLFAX ST",
            "city": "BRECKENRIDGE",
            "state": "MO",
            "postal_code": "646259608",
            "telephone_number": "660-544-5715",
            "fax_number": "660-644-5710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRECKENRIDGE R-I SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2012-07-11",
        "status": "A",
        "authorized_official_last_name": "MULLENIX",
        "authorized_official_first_name": "KIMBRA",
        "authorized_official_title_or_position": "DISTRICT COORDINATOR",
        "authorized_official_telephone_number": "660-644-5715"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "506166305",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chloe L McGraw
• Alicia M Rojas, MS CCC SLP
• Patty L Stark, BA MS EDS

• Local Education Agency (LEA) in Breckenridge, MO
• Providers in Breckenridge, MO by specialty
• Local Education Agency (LEA) in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.