Active NPI
Southern Prairie Aea 15
- Local Education Agency (LEA)
- Ottumwa, IA
National Provider Identifier
1265598106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Local Education Agency (LEA)
- Legal business name
- SOUTHERN PRAIRIE AEA 15
- Practice address
- 2814 N Court St
Ottumwa, IA 52501-1163 - Phone
- (641) 682-8591
- Fax
- (641) 682-9083
- NPI assigned
- Dec 28, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mary Ellen Becker
- Title
- Director of Special Education
- Phone
- (641) 682-8591
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Local Education Agency (LEA) | 251300000X | Primary |
Addresses
Primary practice location
2814 N Court St
Ottumwa, IA 52501-1163
Mailing address
2814 N Court St
Ottumwa, IA 52501-1163
Phone (641) 682-8591
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0259002 | Medicaid | IA |
National Provider Directory
National Provider Directory- Tax ID family
- Southern Prairie Aea 15
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Local Education Agency (LEA)
- Ottumwa, IA
- NPI 1518021666
Locations
2814 N Court St
Ottumwa, IA 52501
Phone (641) 682-8591
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167264000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1265598106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2814 N COURT ST",
"city": "OTTUMWA",
"state": "IA",
"postal_code": "525011163",
"telephone_number": "641-682-8591",
"fax_number": "641-682-9083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2814 N COURT ST",
"city": "OTTUMWA",
"state": "IA",
"postal_code": "525011163",
"telephone_number": "641-682-8591",
"fax_number": "641-682-9083"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHERN PRAIRIE AEA 15",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-28",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BECKER",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "ELLEN",
"authorized_official_title_or_position": "DIRECTOR OF SPECIAL EDUCATION",
"authorized_official_telephone_number": "641-682-8591"
},
"taxonomies": [
{
"code": "251300000X",
"taxonomy_group": "",
"desc": "Local Education Agency (LEA)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0259002",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ottumwa, IA
- Southeast Iowa Kidney Care, Hypertension and Medicine Clinic, LLC
- Southern Iowa Economic Development Assoc
- Southern Iowa Family Planning Clinic, Inc.
- Southern Iowa Mental Health Center
- Southern Iowa Mental Health Center
- Southern Prairie Aea 15
- Speer Family Chiropractic, LLC
- Sports Medicine Diagnostic Center LLC
- Sherry Kay Spring, ARNP
- State University of Iowa
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.