Organization Active NPI

Heartland Area Education Aency 11

  • Blind Rehabilitation Specialist/Technologist
  • Johnston, IA
National Provider Identifier
1073666954
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Blind Rehabilitation Specialist/TechnologistTaxonomy code 2255R0406X
Legal business name
HEARTLAND AREA EDUCATION AENCY 11
Practice address
6500 Corporate Drive
Johnston, IA 50131-1603
Phone
(515) 270-9030
Fax
(515) 270-5383
NPI assigned
Jan 22, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mr. Randy Allisond, ED.S
Title
Director of Special Education
Phone
(515) 270-0405

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X
School Social Worker 1041S0200X
School Registered Nurse 163WS0200X
Occupational Therapy Assistant 224Z00000X
Pediatric Physical Therapist 2251P0200X
Blind Rehabilitation Specialist/Technologist 2255R0406X Primary
Pediatric Occupational Therapist 225XP0200X
Audiologist 231H00000X
Audiology Assistant 2355A2700X
Speech-Language Pathologist 235Z00000X

Addresses

Primary practice location

6500 Corporate Drive
Johnston, IA 50131-1603

Mailing address

6500 Corporate Drive
Johnston, IA 50131-1603
Phone (515) 270-9030

Other identifiers 2

IdentifierTypeStateIssuer
0051110MedicaidIA
0279695MedicaidIA

Other names 1

  • Heartland AEA 11 Other name

National Provider Directory

National Provider Directory
Tax ID family
Heartland Aea 113 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1073666954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 CORPORATE DRIVE",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501311603",
            "telephone_number": "515-270-9030",
            "fax_number": "515-270-5383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 CORPORATE DRIVE",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501311603",
            "telephone_number": "515-270-9030",
            "fax_number": "515-270-5383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND AREA EDUCATION AENCY 11",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "ALLISOND",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "DIRECTOR OF SPECIAL EDUCATION",
        "authorized_official_telephone_number": "515-270-0405",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ED.S"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2255R0406X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Rehabilitation, Blind",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2355A2700X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Audiology Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0051110",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0279695",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heartland AEA 11",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Johnston, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.