NPIMap

Organization Active NPI

Development Academy Corporation

  • Peer Specialist
  • Louisville, KY
National Provider Identifier
1295516235
Registry record updated Oct 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
Legal business name
DEVELOPMENT ACADEMY CORPORATION
Doing business as
THE SERGEANT'S FISH & DONUT
Practice address
5601 Wilke Farm Ave
Louisville, KY 40216-1289
Phone
(502) 910-1117
NPI assigned
Oct 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2023

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

Authorized official

Name
Jarvis Nelson Peele
Title
Secretary
Phone
(502) 910-1117

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 175T00000X Primary

Addresses

Primary practice location

5601 Wilke Farm Ave
Louisville, KY 40216-1289

Mailing address

2414 Arthur St
Jeffersonville, IN 47130-9577
Phone (502) 910-1117

Other practice location 1

2414 Arthur St
Jeffersonville, IN 47130-9577
Phone (502) 910-1117

Other names 1

  • THE SERGEANT'S FISH & DONUT Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Development Academy Corporation3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1696550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696550400000",
    "number": "1295516235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2414 ARTHUR ST",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471309577",
            "telephone_number": "502-910-1117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 WILKE FARM AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402161289",
            "telephone_number": "502-910-1117"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2414 Arthur St",
            "address_purpose": "LOCATION",
            "city": "Jeffersonville",
            "state": "IN",
            "postal_code": "471309577",
            "country_code": "US",
            "telephone_number": "502-910-1117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DEVELOPMENT ACADEMY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-06",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A",
        "authorized_official_last_name": "PEELE",
        "authorized_official_first_name": "JARVIS",
        "authorized_official_middle_name": "NELSON",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "502-910-1117"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE SERGEANT'S FISH & DONUT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2023; 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.