Port Edwards School District

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

PORT EDWARDS SCHOOL DISTRICT

Practice address

801 2ND St
Port Edwards, WI 54469-1301

Phone

(715) 887-9000

Fax

(715) 887-9040

NPI assigned

Aug 29, 2007

Last updated

Aug 29, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dean Ryerson

Title

District Administrator

Phone

(715) 887-9000

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennifer Ayres

  • School Counselor
  • Port Edwards, WI
  • NPI 1326972241
  NPD (past)
• Kali Mayek

  • School Registered Nurse
  • Port Edwards, WI
  • NPI 1376469981
  NPD (past)

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

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188345600000",
    "number": "1104010610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 2ND ST",
            "city": "PORT EDWARDS",
            "state": "WI",
            "postal_code": "544691301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 2ND ST",
            "city": "PORT EDWARDS",
            "state": "WI",
            "postal_code": "544691301",
            "telephone_number": "715-887-9000",
            "fax_number": "715-887-9040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORT EDWARDS SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-29",
        "last_updated": "2007-08-29",
        "status": "A",
        "authorized_official_last_name": "RYERSON",
        "authorized_official_first_name": "DEAN",
        "authorized_official_title_or_position": "DISTRICT ADMINISTRATOR",
        "authorized_official_telephone_number": "715-887-9000"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "44229000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sidrah Amhed Khan
• Charlene M Marshall
• Kali Mayek
• Mind and Medical Wellness LLC
• Lisa Lynn O'Shasky, COTA
• Karen Schaub Stewart, R.N.
• Connor Andrew Tiggerus, M.S., LPC
• Amanda Sue Veriha, LPTA
• Cheryl Wessling
• Dianna Witt, COTA

• Local Education Agency (LEA) in Port Edwards, WI
• Providers in Port Edwards, WI by specialty
• Local Education Agency (LEA) in Wisconsin

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