Collegiate Charter School of Lowell

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

COLLEGIATE CHARTER SCHOOL OF LOWELL

Practice address

1857 Middlesex St
Lowell, MA 01851-1158

Phone

(978) 458-1399

Fax

(978) 458-1366

NPI assigned

Sep 24, 2018

Last updated

Sep 24, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Carl Nystrom

Title

Business Manager

Phone

(978) 458-1399

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1537747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537747200000",
    "number": "1245714385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1857 MIDDLESEX ST",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018511158",
            "telephone_number": "978-458-1399",
            "fax_number": "978-458-1366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1857 MIDDLESEX ST",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018511158",
            "telephone_number": "978-458-1399",
            "fax_number": "978-458-1366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLEGIATE CHARTER SCHOOL OF LOWELL",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-24",
        "last_updated": "2018-09-24",
        "status": "A",
        "authorized_official_last_name": "NYSTROM",
        "authorized_official_first_name": "CARL",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "978-458-1399"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth M Cole, RN
• Sharon Ann Cole, FNP
• Ahmad Coleman
• Darcie Elizabeth Coleman, LICSW
• Shawnic M Coleman
• Brittany Collins
• Emily Collins, MS, CCC/SLP
• Michael Collins
• Michelle Collins
• Alynnette Colon, MED

• Local Education Agency (LEA) in Lowell, MA
• Providers in Lowell, MA by specialty
• Local Education Agency (LEA) in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.