Fort Supply Public Schools

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

FORT SUPPLY PUBLIC SCHOOLS

Practice address

401 Custer Ave
Fort Supply, OK 73841

Phone

(580) 766-2611

Fax

(580) 766-8019

NPI assigned

May 9, 2025

Organization subpart

No

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

Authorized official

Name

Amber Wood

Title

Principal/Counselor

Phone

(580) 766-2611

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1746748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750204800000",
    "number": "1073303343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 160",
            "city": "FORT SUPPLY",
            "state": "OK",
            "postal_code": "738410160",
            "telephone_number": "580-766-2611",
            "fax_number": "580-766-8019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 CUSTER AVE",
            "city": "FORT SUPPLY",
            "state": "OK",
            "postal_code": "73841",
            "telephone_number": "580-766-2611",
            "fax_number": "580-766-8019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT SUPPLY PUBLIC SCHOOLS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-09",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "PRINCIPAL/COUNSELOR",
        "authorized_official_telephone_number": "580-766-2611"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura S Brandvik, LPN
• Ericka Burleson
• Baylee Taylor Chance
• Cathy Heinen
• Patrick Scott Herd, MD
• Penny Hills
• Jayme Johnson, LPN
• William A Mitchell, M.D

• Local Education Agency (LEA) in Fort Supply, OK
• Providers in Fort Supply, OK by specialty
• Local Education Agency (LEA) in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2025; 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.