Organization Active NPI

Sierra Vista Public School District #68

  • Local Education Agency (LEA)
  • Sierra Vista, AZ
National Provider Identifier
1255487351
Registry record updated Aug 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
SIERRA VISTA PUBLIC SCHOOL DISTRICT #68
Practice address
3555 E Fry Boulevard
Sierra Vista, AZ 85635
Phone
(520) 515-2768
Fax
(520) 515-2726
NPI assigned
Jan 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2008

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

Authorized official

Name
Theresa A. Berg
Title
Mips Coordination
Phone
(520) 515-2768

Specialties & licenses 1

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

Addresses

Primary practice location

3555 E Fry Boulevard
Sierra Vista, AZ 85635

Mailing address

3555 E Fry Boulevard
Sierra Vista, AZ 85635
Phone (520) 515-2768

Other identifiers 1

IdentifierTypeStateIssuer
579633MedicaidAZ

National Provider Directory

National Provider Directory

Locations

3555 E Fry Blvd
Sierra Vista, AZ 85635
Phone (520) 515-2738

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218499200000",
    "number": "1255487351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3555 E FRY BOULEVARD",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "85635",
            "telephone_number": "520-515-2768",
            "fax_number": "520-515-2726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3555 E FRY BOULEVARD",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "85635",
            "telephone_number": "520-515-2768",
            "fax_number": "520-515-2726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIERRA VISTA PUBLIC SCHOOL DISTRICT #68",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2008-08-12",
        "status": "A",
        "authorized_official_last_name": "BERG",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "MIPS COORDINATION",
        "authorized_official_telephone_number": "520-515-2768"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "579633",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sierra Vista, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.