Organization Active NPI

Peoria School District 150

  • Local Education Agency (LEA)
  • Peoria, IL
National Provider Identifier
1073714366
Registry record updated Jan 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
PEORIA SCHOOL DISTRICT 150
Practice address
3202 N Wisconsin Ave
Peoria, IL 61603-1260
Phone
(309) 672-6778
NPI assigned
May 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2008

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

Authorized official

Name
Bryan Pullen
Title
Assistant Director
Phone
(309) 282-0876

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X Primary

Addresses

Primary practice location

3202 N Wisconsin Ave
Peoria, IL 61603-1260

Mailing address

3202 N Wisconsin Ave
Peoria, IL 61603-1260

National Provider Directory

National Provider Directory
Tax ID family
Peoria Billing Services3 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.

Locations

3202 N Wisconsin Ave
Peoria, IL 61603
Phone (309) 645-6030

NPI Registry JSON

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199923200000",
    "number": "1073714366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3202 N WISCONSIN AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616031260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3202 N WISCONSIN AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616031260",
            "telephone_number": "309-672-6778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEORIA SCHOOL DISTRICT 150",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-31",
        "last_updated": "2008-01-10",
        "status": "A",
        "authorized_official_last_name": "PULLEN",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "ASSISTANT DIRECTOR",
        "authorized_official_telephone_number": "309-282-0876"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2008; 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.