Organization Active NPI

Independent School District of Emmett #221

  • Local Education Agency (LEA)
  • Emmett, ID
National Provider Identifier
1295880052
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
INDEPENDENT SCHOOL DISTRICT OF EMMETT #221
Practice address
601 E 3Rd St
Emmett, ID 83617-3111
Phone
(208) 365-5971
Fax
(208) 365-3413
NPI assigned
Jan 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2008

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

Authorized official

Name
Mr. Todd Kenneth Levesque
Title
Systems Manager
Phone
(208) 922-3093

Specialties & licenses 1

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

Addresses

Primary practice location

601 E 3Rd St
Emmett, ID 83617-3111

Mailing address

104 E Fairview Ave Ste 201
Meridian, ID 83642-1733
Phone (208) 922-3093

Other identifiers 1

IdentifierTypeStateIssuer
805101500MedicaidID

National Provider Directory

National Provider Directory

Locations

601 E 3rd St
Emmett, ID 83617
Phone (208) 365-5971

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1295880052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 E FAIRVIEW AVE STE 201",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836421733",
            "telephone_number": "208-922-3093",
            "fax_number": "208-922-9351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E 3RD ST",
            "city": "EMMETT",
            "state": "ID",
            "postal_code": "836173111",
            "telephone_number": "208-365-5971",
            "fax_number": "208-365-3413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENT SCHOOL DISTRICT OF EMMETT #221",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "LEVESQUE",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "KENNETH",
        "authorized_official_title_or_position": "SYSTEMS MANAGER",
        "authorized_official_telephone_number": "208-922-3093",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "ID",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "805101500",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Emmett, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.