NPIMap

Organization Active NPI

Archie R-V

  • Local Education Agency (LEA)
  • Archie, MO
National Provider Identifier
1205976594
Registry record updated May 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
ARCHIE R-V
Practice address
302 West State Route a
Archie, MO 64725-0106
Phone
(816) 293-5312
Fax
(816) 293-5712
NPI assigned
Feb 7, 2007
Last updated
May 15, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2014

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

Authorized official

Name
Lee Harmon
Title
Director Spec. Prog.
Phone
(816) 293-5312

Specialties & licenses 4

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

Addresses

Primary practice location

302 West State Route a
Archie, MO 64725-0106

Mailing address

PO Box 106
302 West State Route a
Archie, MO 64725-0106
Phone (816) 293-5312

Other identifiers 1

IdentifierTypeStateIssuer
506073600MedicaidMO

National Provider Directory

National Provider Directory

Locations

302 W State Route a
Archie, MO 64725
Phone (816) 293-5312

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": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400112000000",
    "number": "1205976594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 106",
            "address_2": "302 WEST STATE ROUTE A",
            "city": "ARCHIE",
            "state": "MO",
            "postal_code": "647250106",
            "telephone_number": "816-293-5312",
            "fax_number": "816-293-5712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 WEST STATE ROUTE A",
            "city": "ARCHIE",
            "state": "MO",
            "postal_code": "647250106",
            "telephone_number": "816-293-5312",
            "fax_number": "816-293-5712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARCHIE R-V",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2014-05-15",
        "status": "A",
        "authorized_official_last_name": "HARMON",
        "authorized_official_first_name": "LEE",
        "authorized_official_title_or_position": "DIRECTOR SPEC. PROG.",
        "authorized_official_telephone_number": "816-293-5312"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "506073600",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Archie, MO

Sources for this page

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