Organization Active NPI

Sturgeon R-V School

  • Local Education Agency (LEA)
  • Sturgeon, MO
National Provider Identifier
1194868455
Registry record updated Jun 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
STURGEON R-V SCHOOL
Practice address
210 W Patton St
Sturgeon, MO 65284-9564
Phone
(573) 687-3515
Fax
(573) 687-2116
NPI assigned
Feb 15, 2007
Last updated
Jun 15, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2016

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

Authorized official

Name
Penny Fadler
Title
District Coordinator
Phone
(573) 687-3515

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X
Occupational Therapist 225X00000X
Speech-Language Pathologist 235Z00000X
Local Education Agency (LEA) 251300000X Primary

Addresses

Primary practice location

210 W Patton St
Sturgeon, MO 65284-9564

Mailing address

210 W Patton St
Sturgeon, MO 65284-9564
Phone (573) 687-3515

Other identifiers 1

IdentifierTypeStateIssuer
506109107MedicaidMO

National Provider Directory

National Provider Directory

Locations

210 W Patton St
Sturgeon, MO 65284
Phone (573) 230-7287

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": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465948800000",
    "number": "1194868455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 W PATTON ST",
            "city": "STURGEON",
            "state": "MO",
            "postal_code": "652849564",
            "telephone_number": "573-687-3515",
            "fax_number": "573-687-2116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 W PATTON ST",
            "city": "STURGEON",
            "state": "MO",
            "postal_code": "652849564",
            "telephone_number": "573-687-3515",
            "fax_number": "573-687-2116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STURGEON R-V SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2016-06-15",
        "status": "A",
        "authorized_official_last_name": "FADLER",
        "authorized_official_first_name": "PENNY",
        "authorized_official_title_or_position": "DISTRICT COORDINATOR",
        "authorized_official_telephone_number": "573-687-3515"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "506109107",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sturgeon, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2016; 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.