Organization Active NPI

Sebastopol Independent Charter

  • Local Education Agency (LEA)
  • Sebastopol, CA
National Provider Identifier
1144133950
Registry record updated Sep 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
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

Updated by the provider on Sep 23, 2026

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)CodeLicenseStatePrimary
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

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.

Verify at the official NPI Registry.