Organization Active NPI

Ashwaubenon School District

  • Local Education Agency (LEA)
  • Green Bay, WI
National Provider Identifier
1295915288
Registry record updated Nov 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
ASHWAUBENON SCHOOL DISTRICT
Practice address
1055 Griffiths LN
Green Bay, WI 54304-5599
Phone
(920) 492-2905
NPI assigned
Nov 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2007

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

Authorized official

Name
Mr. Keith Lucius
Title
Business Manager
Phone
(920) 492-2905

Specialties & licenses 1

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

Addresses

Primary practice location

1055 Griffiths LN
Green Bay, WI 54304-5599

Mailing address

1055 Griffiths LN
Green Bay, WI 54304-5599
Phone (920) 492-2905

Other identifiers 1

IdentifierTypeStateIssuer
44220000MedicaidWI

National Provider Directory

National Provider Directory

Locations

1055 Griffiths Ln
Green Bay, WI 54304
Phone (920) 492-2900

NPI Registry JSON

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

{
    "created_epoch": "1194393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194393600000",
    "number": "1295915288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 GRIFFITHS LN",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543045599",
            "telephone_number": "920-492-2905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 GRIFFITHS LN",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543045599",
            "telephone_number": "920-492-2905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASHWAUBENON SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-07",
        "last_updated": "2007-11-07",
        "status": "A",
        "authorized_official_last_name": "LUCIUS",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "920-492-2905",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "44220000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Bay, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2007; 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.