Organization Active NPI

Education Transformation Enterprises Inc

  • Local Education Agency (LEA)
  • Orange Park, FL
National Provider Identifier
1073497608
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
EDUCATION TRANSFORMATION ENTERPRISES INC
Practice address
767 Blanding Blvd Ste 110B
Orange Park, FL 32065-5788
Phone
(904) 539-8300
NPI assigned
Aug 5, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2025

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

Authorized official

Name
Ms. Kristal Todd, FLDOE TEACHER
Title
Executive Director
Phone
(904) 539-8300

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

767 Blanding Blvd Ste 110B
Orange Park, FL 32065-5788

Mailing address

767 Blanding Blvd Ste 110B
Orange Park, FL 32065-5788
Phone (904) 539-8300

National Provider Directory

National Provider Directory

Locations

767 Blanding Blvd
Ste 110B
Orange Park, FL 32065
Phone (803) 318-2052

NPI Registry JSON

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

{
    "created_epoch": "1754352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754352000000",
    "number": "1073497608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "767 BLANDING BLVD STE 110B",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320655788",
            "telephone_number": "904-539-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "767 BLANDING BLVD STE 110B",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320655788",
            "telephone_number": "904-539-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDUCATION TRANSFORMATION ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-05",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A",
        "authorized_official_last_name": "TODD",
        "authorized_official_first_name": "KRISTAL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "904-539-8300",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "FLDOE TEACHER"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.