Superintendent of Booneville High School

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

SUPERINTENDENT OF BOONEVILLE HIGH SCHOOL

Practice address

381 W 7TH St
Booneville, AR 72927-3101

Phone

(479) 675-3504

Fax

(479) 675-3186

NPI assigned

Jan 11, 2007

Last updated

Apr 7, 2020By 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

Mrs. Melissa Haney

Title

Lea Supervisor

Phone

(479) 438-0427

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586217600000",
    "number": "1114077310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "381 W 7TH ST",
            "city": "BOONEVILLE",
            "state": "AR",
            "postal_code": "729273101",
            "telephone_number": "479-675-3504",
            "fax_number": "479-675-3186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "381 W 7TH ST",
            "city": "BOONEVILLE",
            "state": "AR",
            "postal_code": "729273101",
            "telephone_number": "479-675-3504",
            "fax_number": "479-675-3186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERINTENDENT OF BOONEVILLE HIGH SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2020-04-07",
        "certification_date": "2020-04-07",
        "status": "A",
        "authorized_official_last_name": "HANEY",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "LEA SUPERVISOR",
        "authorized_official_telephone_number": "479-438-0427",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "159073791",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VISION AND HEARING",
            "identifier": "162892761",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THERAPIES",
            "identifier": "234902743",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL CARE",
            "identifier": "162749732",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cole Havard Stanton, OD
• State of Arkansas (Logan County Health Unit /Boonville)
• State of Arkansas (Booneville Human Development Center)
• William Andrew Stevenson IV, M.D.
• Virginia L Strickland, APRN
• The Guidance Center - Booneville Clinic
• The Guidance Center - Horizon Renewal Center
• The Guidance Center - Logan County Sats
• Casandra Ann Thurman, APRN
• Sherry Denise Turner, D.O.

• Local Education Agency (LEA) in Booneville, AR
• Providers in Booneville, AR by specialty
• Local Education Agency (LEA) in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2020; 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.