Organization Active NPI

Depere School District

  • Local Education Agency (LEA)
  • De Pere, WI
National Provider Identifier
1154500635
Registry record updated Oct 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
DEPERE SCHOOL DISTRICT
Practice address
1700 Chicago St
De Pere, WI 54115-3418
Phone
(920) 983-2456
NPI assigned
Oct 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2007

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

Authorized official

Name
Rob Lennon
Title
Pupil Services Director
Phone
(920) 983-2456

Specialties & licenses 1

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

Addresses

Primary practice location

1700 Chicago St
De Pere, WI 54115-3418

Mailing address

1700 Chicago St
De Pere, WI 54115-3418
Phone (920) 983-2456

Other identifiers 1

IdentifierTypeStateIssuer
44224200MedicaidWI

National Provider Directory

National Provider Directory

Locations

1700 Chicago St
De Pere, WI 54115
Phone (920) 337-1032

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": "1193788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193788800000",
    "number": "1154500635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 CHICAGO ST",
            "city": "DE PERE",
            "state": "WI",
            "postal_code": "541153418",
            "telephone_number": "920-983-2456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 CHICAGO ST",
            "city": "DE PERE",
            "state": "WI",
            "postal_code": "541153418",
            "telephone_number": "920-983-2456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPERE SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-31",
        "last_updated": "2007-10-31",
        "status": "A",
        "authorized_official_last_name": "LENNON",
        "authorized_official_first_name": "ROB",
        "authorized_official_title_or_position": "PUPIL SERVICES DIRECTOR",
        "authorized_official_telephone_number": "920-983-2456"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "44224200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in De Pere, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2007; 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.