Hackberry School District#3

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

HACKBERRY SCHOOL DISTRICT#3

Practice address

9501 E Nellie Dr
Kingman, AZ 86401-8917

Phone

(928) 692-0013

Fax

(928) 692-1075

NPI assigned

Feb 7, 2011

Organization subpart

No

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

Authorized official

Name

Ms. TK Cruz

Title

Business Manager

Phone

(928) 692-0013

Specialties & licenses 1

Addresses

Other names 1

• Cedar Hills Elementary Other name

Locations

Practitioners 1

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

• Joan Thelander-Dalcerro, SPEECHLANGUAGE PATH

  • Speech-Language Pathologist
  • Kingman, AZ
  • NPI 1225151269
  NPD (past)

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

{
    "created_epoch": "1297036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297036800000",
    "number": "1134425218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9501 E NELLIE DR",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864018917",
            "telephone_number": "928-692-0013",
            "fax_number": "928-692-1075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9501 E NELLIE DR",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864018917",
            "telephone_number": "928-692-0013",
            "fax_number": "928-692-1075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HACKBERRY SCHOOL DISTRICT#3",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-07",
        "last_updated": "2011-02-07",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "TK",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "928-692-0013",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cedar Hills Elementary",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Theresa Vila Grumbles, M.A.
• Maria Fernanda Guardia, PA
• Laura Joy Gustafson, D.C.
• Ryan Dennis Gustafson, D.C.
• Bachar Hachem, DO
• Jamie Renee Hairston, MS, LASAC
• Emily Lynn Hall, M.ED
• Timothy Hamburg
• Tanner Jace Hancock, DO
• Hanger Prosthetics & Orthotics West Inc

• Local Education Agency (LEA) in Kingman, AZ
• Providers in Kingman, AZ by specialty
• Local Education Agency (LEA) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2011; 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.