Organization Active NPI

Waterloo School District

  • Local Education Agency (LEA)
  • Waterloo, WI
National Provider Identifier
1275712804
Registry record updated Oct 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
WATERLOO SCHOOL DISTRICT
Practice address
813 N Monroe St
Waterloo, WI 53594-1171
Phone
(920) 478-3633
Fax
(920) 478-3821
NPI assigned
Oct 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2007

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

Authorized official

Name
Mrs. Connie L. Schiestl
Title
District Administrator
Phone
(920) 478-3633

Specialties & licenses 1

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

Addresses

Primary practice location

813 N Monroe St
Waterloo, WI 53594-1171

Mailing address

813 N Monroe St
Waterloo, WI 53594-1171
Phone (920) 478-3633

Other identifiers 1

IdentifierTypeStateIssuer
44203600MedicaidWI

National Provider Directory

National Provider Directory

Locations

813 N Monroe St
Waterloo, WI 53594
Phone (920) 478-2168

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1193788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193788800000",
    "number": "1275712804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 N MONROE ST",
            "city": "WATERLOO",
            "state": "WI",
            "postal_code": "535941171",
            "telephone_number": "920-478-3633",
            "fax_number": "920-478-3821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 N MONROE ST",
            "city": "WATERLOO",
            "state": "WI",
            "postal_code": "535941171",
            "telephone_number": "920-478-3633",
            "fax_number": "920-478-3821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERLOO SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-31",
        "last_updated": "2007-10-31",
        "status": "A",
        "authorized_official_last_name": "SCHIESTL",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "DISTRICT ADMINISTRATOR",
        "authorized_official_telephone_number": "920-478-3633",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "44203600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterloo, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2007; 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.