Active NPI
Pittsville Public School
- Local Education Agency (LEA)
- Pittsville, WI
National Provider Identifier
1295901882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Local Education Agency (LEA)
- Legal business name
- PITTSVILLE PUBLIC SCHOOL
- Practice address
- 5459 Elementary Ave
Suite 2
Pittsville, WI 54466-9550 - Phone
- (715) 884-6694
- Fax
- (715) 884-5218
- NPI assigned
- May 2, 2008
- Last updated
- May 2, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jeffrey S Gast
- Title
- Finance Director
- Phone
- (715) 884-5221
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Local Education Agency (LEA) | 251300000X | NU | Primary |
Addresses
Primary practice location
5459 Elementary Ave
Suite 2
Pittsville, WI 54466-9550
Mailing address
5459 Elementary Ave
Suite 2
Pittsville, WI 54466-9550
Phone (715) 884-6694
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 44208500 | Medicaid | WI |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 52D2271248 | Pittsville School | Certificate of waiver | Oct 30, 2026 |
National Provider Directory
National Provider DirectoryLocations
5459 Elementary Ave
#2
Pittsville, WI 54466
Phone (715) 884-6694
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209686400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1209686400000",
"number": "1295901882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5459 ELEMENTARY AVE",
"address_2": "SUITE 2",
"city": "PITTSVILLE",
"state": "WI",
"postal_code": "544669550",
"telephone_number": "715-884-6694",
"fax_number": "715-884-5218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5459 ELEMENTARY AVE",
"address_2": "SUITE 2",
"city": "PITTSVILLE",
"state": "WI",
"postal_code": "544669550",
"telephone_number": "715-884-6694",
"fax_number": "715-884-5218"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PITTSVILLE PUBLIC SCHOOL",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-02",
"last_updated": "2008-05-02",
"status": "A",
"authorized_official_last_name": "GAST",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "FINANCE DIRECTOR",
"authorized_official_telephone_number": "715-884-5221",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251300000X",
"taxonomy_group": "",
"desc": "Local Education Agency (LEA)",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "44208500",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pittsville, WI
- Nicole L. Kremer, PTA
- Maricia Leigh, PTA
- Gina Mae Martinovich
- MCHS Hospitals Inc (Marshfield Clinic Pittsville Pharmacy)
- Kathleen Louise Nelson, L.P.N
- Pittsville Therapy Services, Inc
- Pittsville Vol Fire Dept Inc (Pittsville Fire Dept Ambulance Service)
- Ashley Ann Raygo
- Ashley J Robus, PTA
- Angela Kari Rutta, LPN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.