Cannon River Stem School

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

CANNON RIVER STEM SCHOOL

Practice address

1800 14TH St NE
Faribault, MN 55021-2508

Phone

(507) 331-7836

NPI assigned

Sep 22, 2014

Organization subpart

No

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

Authorized official

Name

Nalani McCutcheon

Title

Executive Director

Phone

(507) 331-7836

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1411344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411344000000",
    "number": "1154723161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 14TH ST NE",
            "city": "FARIBAULT",
            "state": "MN",
            "postal_code": "550212508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 14TH ST NE",
            "city": "FARIBAULT",
            "state": "MN",
            "postal_code": "550212508",
            "telephone_number": "507-331-7836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANNON RIVER STEM SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-22",
        "last_updated": "2014-09-22",
        "status": "A",
        "authorized_official_last_name": "MCCUTCHEON",
        "authorized_official_first_name": "NALANI",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "507-331-7836"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roderick Ralph Byron, M.D.
• Lezlie Maryjane Caballero
• Terence P Cahill, M.D
• Mary L Cameron, MD
• James Henry Cannaday, M.D.
• Sarah Grace Cantrell
• Raquel Cardenas-Stophel, DO
• Caring Connections LLC
• Bryan R. Carleton, APRN, DNP
• Megan Murphy Carlson, PA-C

• All providers in Faribault, MN
• Local Education Agency (LEA) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2014; 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.