NPIMap

Organization Active NPI

Gouverneur Central School

  • Local Education Agency (LEA)
  • Gouverneur, NY
National Provider Identifier
1144590183
Registry record updated Jan 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
GOUVERNEUR CENTRAL SCHOOL
Practice address
25 Wilson St
Gouverneur, NY 13642-1328
Phone
(315) 287-4300
NPI assigned
Jan 9, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2012

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

Authorized official

Name
Mrs. Marla Anne Shampine, R.N.
Title
School Nurse
Phone
(315) 287-4300

Specialties & licenses 1

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

Addresses

Primary practice location

25 Wilson St
Gouverneur, NY 13642-1328

Mailing address

25 Wilson St
Gouverneur, NY 13642-1328
Phone (315) 287-4300

Other identifiers 1

IdentifierTypeStateIssuer
01382127MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Gouverneur Central School8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

25 Wilson St
Gouverneur, NY 13642
Phone (315) 287-1903

NPI Registry JSON

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

{
    "created_epoch": "1326067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326067200000",
    "number": "1144590183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 WILSON ST",
            "city": "GOUVERNEUR",
            "state": "NY",
            "postal_code": "136421328",
            "telephone_number": "315-287-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 WILSON ST",
            "city": "GOUVERNEUR",
            "state": "NY",
            "postal_code": "136421328",
            "telephone_number": "315-287-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOUVERNEUR CENTRAL SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-09",
        "last_updated": "2012-01-09",
        "status": "A",
        "authorized_official_last_name": "SHAMPINE",
        "authorized_official_first_name": "MARLA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "SCHOOL NURSE",
        "authorized_official_telephone_number": "315-287-4300",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01382127",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gouverneur, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2012; 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.