Organization Active NPI

Texas Leadership Charter Academy

  • Local Education Agency (LEA)
  • San Angelo, TX
National Provider Identifier
1134541600
Registry record updated Jan 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
TEXAS LEADERSHIP CHARTER ACADEMY
Practice address
4114 Sunset Dr
San Angelo, TX 76904-5614
Phone
(325) 653-3200
NPI assigned
Jan 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2014

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

Authorized official

Name
Tammy Utter
Title
Sped Director
Phone
(325) 653-3200

Specialties & licenses 1

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

Addresses

Primary practice location

4114 Sunset Dr
San Angelo, TX 76904-5614

Mailing address

PO Box 61726
San Angelo, TX 76906-1726

Other identifiers 1

IdentifierTypeStateIssuer
226801MedicaidTX

National Provider Directory

National Provider Directory

Locations

4114 Sunset Dr
San Angelo, TX 76904
Phone (325) 653-3200

NPI Registry JSON

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

{
    "created_epoch": "1389916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389916800000",
    "number": "1134541600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 61726",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769061726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4114 SUNSET DR",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769045614",
            "telephone_number": "325-653-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS LEADERSHIP CHARTER ACADEMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-17",
        "last_updated": "2014-01-17",
        "status": "A",
        "authorized_official_last_name": "UTTER",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "SPED DIRECTOR",
        "authorized_official_telephone_number": "325-653-3200"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "226801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Angelo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2014; 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.