Grace JT School District

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

GRACE JT SCHOOL DISTRICT

Practice address

704 South Hwy 30
Grace, ID 83241

Phone

(208) 425-9161

Fax

(208) 425-3809

NPI assigned

Jan 19, 2007

Last updated

Aug 13, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Gary Brogan, PHD

Title

Superintendent

Phone

(208) 425-9161

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218585600000",
    "number": "1285787598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 328",
            "address_2": "704 SHOUT HWY 30",
            "city": "GRACE",
            "state": "ID",
            "postal_code": "83241",
            "telephone_number": "208-425-3731",
            "fax_number": "208-425-3063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 SOUTH HWY 30",
            "city": "GRACE",
            "state": "ID",
            "postal_code": "83241",
            "telephone_number": "208-425-9161",
            "fax_number": "208-425-3809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE JT SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2008-08-13",
        "status": "A",
        "authorized_official_last_name": "BROGAN",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "208-425-9161",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "ID",
            "license": null,
            "primary": true
        },
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08051088",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patty J Ackerman, DNP, CNM, APRN
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• Nature's Grace Precision Health (Patty Ackerman, DNP, APRN)

• Developmentally Disabled Services Day Training Agency in Grace, ID
• Providers in Grace, ID by specialty
• Developmentally Disabled Services Day Training Agency in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.