Organization Active NPI

Jamesville Dewitt CSD

  • Local Education Agency (LEA)
  • Fayetteville, NY
National Provider Identifier
1063564656
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
JAMESVILLE DEWITT CSD
Practice address
6845 Edinger Dr
Fayetteville, NY 13066-1768
Phone
(315) 445-8300
NPI assigned
Jan 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Alice Kendrick, DR.
Title
Superintendent of Schools
Phone
(315) 445-8304

Specialties & licenses 1

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

Addresses

Primary practice location

6845 Edinger Dr
Fayetteville, NY 13066-1768

Mailing address

PO Box 606
Syracuse, NY 13214-0606
Phone (315) 445-8300

Other identifiers 1

IdentifierTypeStateIssuer
01646079MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Jamesville Dewitt CSD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

6845 Edinger Dr
Fayetteville, NY 13066
Phone (315) 445-8300

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063564656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 606",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132140606",
            "telephone_number": "315-445-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6845 EDINGER DR",
            "city": "FAYETTEVILLE",
            "state": "NY",
            "postal_code": "130661768",
            "telephone_number": "315-445-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMESVILLE DEWITT CSD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KENDRICK",
        "authorized_official_first_name": "ALICE",
        "authorized_official_title_or_position": "SUPERINTENDENT OF SCHOOLS",
        "authorized_official_telephone_number": "315-445-8304",
        "authorized_official_credential": "DR."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01646079",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.