Timothy L. Johnson Academy

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

License

9350 Issued in IN

Legal business name

TIMOTHY L. JOHNSON ACADEMY

Practice address

7908 S Anthony Blvd
Fort Wayne, IN 46816-2504

Phone

(260) 441-8727

Fax

(260) 441-9357

NPI assigned

Feb 1, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Steve Bollier

Title

School Leader

Phone

(260) 441-8727

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285771691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7908 S ANTHONY BLVD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468162504",
            "telephone_number": "260-441-8727",
            "fax_number": "260-441-9357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7908 S ANTHONY BLVD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468162504",
            "telephone_number": "260-441-8727",
            "fax_number": "260-441-9357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY L. JOHNSON ACADEMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOLLIER",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "SCHOOL LEADER",
        "authorized_official_telephone_number": "260-441-8727",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "IN",
            "license": "9350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Marie Timbrook, NP
• Rodney E Timbrook, PH.D.
• Jason Timmer, CPO
• Angie Timmons, COTA
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• Catherine Tinkler, ATC/L
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• Daniel W Tinsley, PA-C

• Local Education Agency (LEA) in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Local Education Agency (LEA) in Indiana

• 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.

Verify at the official NPI Registry.