Active NPI
Heartland Area Education Aency 11
- Blind Rehabilitation Specialist/Technologist
- Johnston, IA
National Provider Identifier
1073666954
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Blind Rehabilitation Specialist/Technologist
- 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, 2025
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0051110 | Medicaid | IA | |
| 0279695 | Medicaid | IA |
Other names 1
- Heartland AEA 11
National Provider Directory
National Provider Directory- Tax ID family
- Heartland Aea 11
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Local Education Agency (LEA)
- Johnston, IA
- NPI 1124183058
-
- Local Education Agency (LEA)
- Johnston, IA
- NPI 1720143431
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.