Active NPI
Ashwaubenon School District
- Local Education Agency (LEA)
- Green Bay, WI
National Provider Identifier
1295915288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Local Education Agency (LEA)
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 44220000 | Medicaid | WI |
National Provider Directory
National Provider DirectoryLocations
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.