Fruitvale I S D

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

FRUITVALE I S D

Practice address

244 VZCR 1910
Fruitvale, TX 75127

Phone

(903) 896-1191

Fax

(903) 896-1011

NPI assigned

Feb 13, 2007

Organization subpart

No

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

Authorized official

Name

Susan McCann

Title

Business Manager

Phone

(903) 896-1191

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1255473245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 77",
            "city": "FRUITVALE",
            "state": "TX",
            "postal_code": "751270077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 VZCR 1910",
            "city": "FRUITVALE",
            "state": "TX",
            "postal_code": "75127",
            "telephone_number": "903-896-1191",
            "fax_number": "903-896-1011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRUITVALE I S D",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "MCCANN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "903-896-1191"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "065023602",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jana D Brightman, LVN, RN
• Leanne Kristin Davis, MS, CCC-SLP
• Masyn Claire Goforth
• Tonya Renee McCormick

• All providers in Fruitvale, TX
• Local Education Agency (LEA) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; 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.