NPIMap

Organization Active NPI

Cholla Middle School

  • Local Education Agency (LEA)
  • Phoenix, AZ
National Provider Identifier
1114144870
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
License
1572605424 Issued in AZ
Legal business name
CHOLLA MIDDLE SCHOOL
Practice address
3120 W Cholla St
Phoenix, AZ 85029-4113
Phone
(602) 896-5410
Fax
(602) 896-5420
NPI assigned
Apr 20, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Loribeth Bykerk, R.N.
Title
School Nurse
Phone
(602) 896-5410

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X 1572605424 AZ Primary

Addresses

Primary practice location

3120 W Cholla St
Phoenix, AZ 85029-4113

Mailing address

3120 W Cholla St
Phoenix, AZ 85029-4113
Phone (602) 896-5410

National Provider Directory

National Provider Directory
Tax ID family
Washington Elementary School District8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3120 W Cholla St
Phoenix, AZ 85029
Phone (602) 896-5410

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114144870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3120 W CHOLLA ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850294113",
            "telephone_number": "602-896-5410",
            "fax_number": "602-896-5420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 W CHOLLA ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850294113",
            "telephone_number": "602-896-5410",
            "fax_number": "602-896-5420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOLLA MIDDLE SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BYKERK",
        "authorized_official_first_name": "LORIBETH",
        "authorized_official_title_or_position": "SCHOOL NURSE",
        "authorized_official_telephone_number": "602-896-5410",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "AZ",
            "license": "1572605424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.