Superintendent of Berryville High School

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

SUPERINTENDENT OF BERRYVILLE HIGH SCHOOL

Practice address

214 Ferguson St
Berryville, AR 72616-3213

Phone

(870) 423-5959

NPI assigned

Dec 11, 2006

Last updated

Mar 30, 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

Randy Lee Byrd

Title

Superintendent

Phone

(870) 423-5959

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 2

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.

• Jennifer Lynn Depew, R.N.

  • School Registered Nurse
  • Berryville, AR
  • NPI 1265673735
  NPD (past)
• Cara B. Sroges, M.ED.,CCC-SLP

  • Speech-Language Pathologist
  • Berryville, AR
  • NPI 1083855779
  NPD (past)

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238371200000",
    "number": "1053471029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 W TRIMBLE AVE",
            "city": "BERRYVILLE",
            "state": "AR",
            "postal_code": "726164601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 FERGUSON ST",
            "city": "BERRYVILLE",
            "state": "AR",
            "postal_code": "726163213",
            "telephone_number": "870-423-5959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERINTENDENT OF BERRYVILLE HIGH SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2009-03-30",
        "status": "A",
        "authorized_official_last_name": "BYRD",
        "authorized_official_first_name": "RANDY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "870-423-5959"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "161903761",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130379742",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149842732",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• St Johns Clinic Inc (SJC-Berryville)
• St. John's Clinic, Inc. (William K. Flake, MD)
• State of Arkansas (Carroll County Health Unit)
• Nikki Summerville Stidham, COTA/L
• Brianna Still
• Karen J Swogger, CRNA
• Kent E Swogger, CRNA
• T&J Ventures LLC (Poynor Drug)
• Richard L. Taylor, MD
• The Family Doctor of Berryville, PLC

• Local Education Agency (LEA) in Berryville, AR
• Providers in Berryville, AR by specialty
• Local Education Agency (LEA) in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.