Jane Goodall Environmental Sciences Academy

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

JANE GOODALL ENVIRONMENTAL SCIENCES ACADEMY

Practice address

8008 83Rd St. NW
Maple Lake, MN 55358

Phone

(952) 852-0129

NPI assigned

Mar 23, 2016

Last updated

Mar 23, 2016By 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

Craig S Wignes

Title

Admin Designee

Phone

(952) 852-0129

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1458691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458691200000",
    "number": "1063874600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8008 83RD ST NW",
            "city": "MAPLE LAKE",
            "state": "MN",
            "postal_code": "55358",
            "telephone_number": "952-852-0129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8008 83RD ST. NW",
            "city": "MAPLE LAKE",
            "state": "MN",
            "postal_code": "55358",
            "telephone_number": "952-852-0129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANE GOODALL ENVIRONMENTAL SCIENCES ACADEMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-23",
        "last_updated": "2016-03-23",
        "status": "A",
        "authorized_official_last_name": "WIGNES",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "ADMIN DESIGNEE",
        "authorized_official_telephone_number": "952-852-0129"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• City of Maple Lake
• Dimensions in Recovery
• Essential Kare, Inc.
• Reggie Stanley Fuller, D.C.
• Independent School District #881
• Tracy Lyn Jansen, LAC
• Terry Ann Kisner, DC
• Maple Lake Recovery Center, Inc.
• Nicole Tripp DDS PLLC (Sunfish Dental)
• Kezia E Otting

• Local Education Agency (LEA) in Maple Lake, MN
• Providers in Maple Lake, MN by specialty
• Local Education Agency (LEA) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2016; 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.