Organization Active NPI

Kickapoo Area School District

  • Local Education Agency (LEA)
  • Viola, WI
National Provider Identifier
1104005081
Registry record updated Oct 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
KICKAPOO AREA SCHOOL DISTRICT
Practice address
S6520 State Highway 131
Viola, WI 54664-8528
Phone
(608) 627-0104
Fax
(608) 627-0118
NPI assigned
Oct 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2007

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

Authorized official

Name
Thomas Simonson
Title
District Administrator
Phone
(608) 627-0101

Specialties & licenses 1

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

Addresses

Primary practice location

S6520 State Highway 131
Viola, WI 54664-8528

Mailing address

S6520 State Highway 131
Viola, WI 54664-8528
Phone (608) 627-0104

Other identifiers 1

IdentifierTypeStateIssuer
44223800MedicaidWI

National Provider Directory

National Provider Directory

Locations

S6520 State Highway 131
Viola, WI 54664
Phone (608) 627-0104

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1193616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193616000000",
    "number": "1104005081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "S6520 STATE HIGHWAY 131",
            "city": "VIOLA",
            "state": "WI",
            "postal_code": "546648528",
            "telephone_number": "608-627-0104",
            "fax_number": "608-627-0118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "S6520 STATE HIGHWAY 131",
            "city": "VIOLA",
            "state": "WI",
            "postal_code": "546648528",
            "telephone_number": "608-627-0104",
            "fax_number": "608-627-0118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KICKAPOO AREA SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-29",
        "last_updated": "2007-10-29",
        "status": "A",
        "authorized_official_last_name": "SIMONSON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "DISTRICT ADMINISTRATOR",
        "authorized_official_telephone_number": "608-627-0101"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "44223800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Viola, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2007; 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.