Traverse Bay Area Intermediate School District

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

TRAVERSE BAY AREA INTERMEDIATE SCHOOL DISTRICT

Practice address

1101 Red Dr
Traverse City, MI 49684-4465

Phone

(231) 922-6200

Fax

(231) 922-6407

NPI assigned

Aug 4, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Michael E. Kenney

Title

Superintendent

Phone

(231) 922-6200

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144238940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 RED DR",
            "address_2": "P.O. BOX 6020",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496844465",
            "telephone_number": "231-922-6200",
            "fax_number": "231-922-6407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 RED DR",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496844465",
            "telephone_number": "231-922-6200",
            "fax_number": "231-922-6407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAVERSE BAY AREA INTERMEDIATE SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KENNEY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "231-922-6200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2958994",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Local Education Agency (LEA) in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Local Education Agency (LEA) in Michigan

• 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.