Active NPI
Sebastopol Independent Charter
- Local Education Agency (LEA)
- Sebastopol, CA
National Provider Identifier
1144133950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Local Education Agency (LEA)
- Legal business name
- SEBASTOPOL INDEPENDENT CHARTER
- Practice address
- 1111 Hwy 116 N
Sebastopol, CA 95472-2802 - Phone
- (707) 824-9700
- NPI assigned
- Sep 23, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Kelli Lewis, MM/MS/ESN
- Title
- Director of Student Support Service
- Phone
- (707) 824-9700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Local Education Agency (LEA) | 251300000X | Primary |
Addresses
Primary practice location
1111 Hwy 116 N
Sebastopol, CA 95472-2802
Mailing address
1111 Hwy 116 N
Sebastopol, CA 95472-2802
Phone (707) 824-9700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790121600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790121600000",
"number": "1144133950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 HWY 116 N",
"city": "SEBASTOPOL",
"state": "CA",
"postal_code": "954722802",
"telephone_number": "707-824-9700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 HWY 116 N",
"city": "SEBASTOPOL",
"state": "CA",
"postal_code": "954722802",
"telephone_number": "707-824-9700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SEBASTOPOL INDEPENDENT CHARTER",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-23",
"last_updated": "2026-09-23",
"certification_date": "2026-09-23",
"status": "A",
"authorized_official_last_name": "LEWIS",
"authorized_official_first_name": "KELLI",
"authorized_official_title_or_position": "DIRECTOR OF STUDENT SUPPORT SERVICE",
"authorized_official_telephone_number": "707-824-9700",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "MM/MS/ESN"
},
"taxonomies": [
{
"code": "251300000X",
"taxonomy_group": "",
"desc": "Local Education Agency (LEA)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sebastopol, CA
- Katherine J Schwimmer
- William Lenard Schwimmer, PHD
- Sebastopol ASC, L.P.
- Sebastopol Convalescent Hospital
- Sebastopol Family Pharmacy, Inc.
- Sebastopol Physical Therapy and Pilates Studio
- Sebastopol Union School District
- Sebastopol Urgent Care
- Seeking Peace Therapy, a Licensed Clinical Social Worker (Caitlin Steele, LCSW)
- Lawrence Segrue
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.