Organization Active NPI

South Shore Charter Public School

  • Local Education Agency (LEA)
  • Norwell, MA
National Provider Identifier
1154448793
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
SOUTH SHORE CHARTER PUBLIC SCHOOL
Practice address
100 Longwater Cir
Norwell, MA 02061-1616
Phone
(781) 982-4202
Fax
(781) 982-4201
NPI assigned
Mar 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Kristine Shipps
Title
Business Manager
Phone
(781) 982-4202

Specialties & licenses 1

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

Addresses

Primary practice location

100 Longwater Cir
Norwell, MA 02061-1616

Mailing address

100 Longwater Cir
Norwell, MA 02061-1616
Phone (781) 982-4202

Other identifiers 1

IdentifierTypeStateIssuer
1955951MedicaidMA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D2203389South Shore Charter Public School100 Longwater Circle, Norwell, MA 02061Certificate of waiverDec 2, 2026

National Provider Directory

National Provider Directory

Locations

100 Longwater Cir
Norwell, MA 02061
Phone (781) 982-4202

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154448793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 LONGWATER CIR",
            "city": "NORWELL",
            "state": "MA",
            "postal_code": "020611616",
            "telephone_number": "781-982-4202",
            "fax_number": "781-982-4201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 LONGWATER CIR",
            "city": "NORWELL",
            "state": "MA",
            "postal_code": "020611616",
            "telephone_number": "781-982-4202",
            "fax_number": "781-982-4201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH SHORE CHARTER PUBLIC SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHIPPS",
        "authorized_official_first_name": "KRISTINE",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "781-982-4202"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1955951",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwell, MA

Sources for this page

  • 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.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.