Fuente Nueva Charter School

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

FUENTE NUEVA CHARTER SCHOOL

Practice address

1730 Janes Rd
Arcata, CA 95521-9623

Phone

(707) 822-3348

NPI assigned

Feb 12, 2024

Organization subpart

No

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

Authorized official

Name

Beth Wylie

Title

Director

Phone

(707) 822-3348

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Jessalyn Nicole Delucchi

  • Health & Wellness Coach
  • Arcata, CA
  • NPI 1609746726
  NPD
• Amelia Vanderford, ASW, PPSC, CWA

  • School Social Worker
  • Arcata, CA
  • NPI 1154146801
  NPD

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

{
    "created_epoch": "1707696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707696000000",
    "number": "1104680859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 JANES RD",
            "city": "ARCATA",
            "state": "CA",
            "postal_code": "955219623",
            "telephone_number": "707-822-3348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 JANES RD",
            "city": "ARCATA",
            "state": "CA",
            "postal_code": "955219623",
            "telephone_number": "707-822-3348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUENTE NUEVA CHARTER SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-12",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A",
        "authorized_official_last_name": "WYLIE",
        "authorized_official_first_name": "BETH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "707-822-3348"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cecilia Carmela French
• Eva Fried, M.D.
• Timothy Frigot
• Julia Ann Fritz, RPT
• Nicole R Fryer, CMT
• Full Circle Center for Integrative Medicine
• Functional Mental Health Solutions
• Kathleen Kaati Gaffney
• Devon Joy Gagliard-Nwuko
• Devin Andrew Galdieri, MS

• Local Education Agency (LEA) in Arcata, CA
• Providers in Arcata, CA by specialty
• Local Education Agency (LEA) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; 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.