Organization Active NPI

North Shore Community School #4084

  • Local Education Agency (LEA)
  • Duluth, MN
National Provider Identifier
1225195191
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
NORTH SHORE COMMUNITY SCHOOL #4084
Practice address
5926 Ryan Rd
Duluth, MN 55804-9672
Phone
(218) 525-0663
Fax
(218) 525-0024
NPI assigned
Jan 2, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Sheri Camper
Title
Director
Phone
(218) 525-0663

Specialties & licenses 1

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

Addresses

Primary practice location

5926 Ryan Rd
Duluth, MN 55804-9672

Mailing address

5926 Ryan Rd
Duluth, MN 55804-9672
Phone (218) 525-0663

National Provider Directory

National Provider Directory

Locations

5926 Ryan Rd
Duluth, MN 55804
Phone (218) 525-0663

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225195191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5926 RYAN RD",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558049672",
            "telephone_number": "218-525-0663",
            "fax_number": "218-525-0024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5926 RYAN RD",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558049672",
            "telephone_number": "218-525-0663",
            "fax_number": "218-525-0024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SHORE COMMUNITY SCHOOL #4084",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CAMPER",
        "authorized_official_first_name": "SHERI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "218-525-0663",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.