Noble Academy

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

License

14412622 Issued in MN

Legal business name

NOBLE ACADEMY

Practice address

9477 Decatur Dr N
Brooklyn Park, MN 55445-3400

Phone

(763) 592-7706

Fax

(763) 592-7707

NPI assigned

Nov 26, 2012

Organization subpart

No

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

Authorized official

Name

Neal P. Thao

Title

Superintendent

Phone

(763) 592-7706

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1353888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546905600000",
    "number": "1174867436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9477 DECATUR DR N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554453400",
            "telephone_number": "763-592-7706",
            "fax_number": "763-592-7707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9477 DECATUR DR N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554453400",
            "telephone_number": "763-592-7706",
            "fax_number": "763-592-7707"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6201 Noble Ave N",
            "address_purpose": "LOCATION",
            "city": "Brooklyn Center",
            "state": "MN",
            "postal_code": "554292483",
            "country_code": "US",
            "telephone_number": "763-204-2806",
            "fax_number": "763-204-8407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NOBLE ACADEMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-26",
        "last_updated": "2019-01-08",
        "status": "A",
        "authorized_official_last_name": "THAO",
        "authorized_official_first_name": "NEAL",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "763-592-7706"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "MN",
            "license": "14412622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pov Nhean
• Robert James Niehoff, LMFT
• Brianna Nienaber, NP-C
• Mallyssa Rose Nissen
• Niya Home Care LLC
• Noble Imaging Center, LLC
• Noble Parkway Medical Clinic Professional Corporation
• Noel'S Hands Healthcare LLC
• Jay Benjamin Nordstrom, PHARMD
• North Clinic, PA

• Local Education Agency (LEA) in Brooklyn Park, MN
• Providers in Brooklyn Park, MN by specialty
• Local Education Agency (LEA) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2019; 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.