Organization Active NPI

St. Vrain Valley School District Re-1J

  • Local Education Agency (LEA)
  • Longmont, CO
National Provider Identifier
1174684914
Registry record updated Jun 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
ST. VRAIN VALLEY SCHOOL DISTRICT RE-1J
Practice address
395 S Pratt Pkwy
Longmont, CO 80501-6436
Phone
(303) 772-7700
Fax
(303) 651-3066
NPI assigned
Dec 13, 2006
Last updated
Jun 26, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2008

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

Authorized official

Name
Mrs. Janet Gutman
Title
Director of Student Services
Phone
(303) 772-7700

Specialties & licenses 1

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

Addresses

Primary practice location

395 S Pratt Pkwy
Longmont, CO 80501-6436

Mailing address

395 S Pratt Pkwy
Longmont, CO 80501-6436
Phone (303) 772-7700

Other identifiers 1

IdentifierTypeStateIssuer
04444055MedicaidCO

Other names 1

  • Boulder County School District RE-1J Other name

National Provider Directory

National Provider Directory

Locations

395 S Pratt Pkwy
Longmont, CO 80501
Phone (303) 772-7700

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1174684914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "395 S PRATT PKWY",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805016436",
            "telephone_number": "303-772-7700",
            "fax_number": "303-651-3066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 S PRATT PKWY",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805016436",
            "telephone_number": "303-772-7700",
            "fax_number": "303-651-3066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. VRAIN VALLEY SCHOOL DISTRICT RE-1J",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "GUTMAN",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "DIRECTOR OF STUDENT SERVICES",
        "authorized_official_telephone_number": "303-772-7700",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04444055",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boulder County School District RE-1J",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Longmont, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; 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.