Chazy Central Rural School

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

CHAZY CENTRAL RURAL SCHOOL

Practice address

609 Miner Farm Rd
Chazy, NY 12921-3003

Phone

(518) 846-8885

NPI assigned

Jan 22, 2007

Organization subpart

No

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

Authorized official

Name

Theda Wilfore

Title

Director of Special Education

Phone

(518) 846-8885

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nicole Katherine Davis, SLP

  • Speech-Language Pathologist
  • Chazy, NY
  • NPI 1982971214
  NPD (past)

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424736000000",
    "number": "1306990239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 MINER FARM RD",
            "city": "CHAZY",
            "state": "NY",
            "postal_code": "129213003",
            "telephone_number": "518-846-8885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 MINER FARM RD",
            "city": "CHAZY",
            "state": "NY",
            "postal_code": "129213003",
            "telephone_number": "518-846-8885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAZY CENTRAL RURAL SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2015-02-24",
        "status": "A",
        "authorized_official_last_name": "WILFORE",
        "authorized_official_first_name": "THEDA",
        "authorized_official_title_or_position": "DIRECTOR OF SPECIAL EDUCATION",
        "authorized_official_telephone_number": "518-846-8885"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01507928",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cierra A Branham-Harvey, LPN
• Cindy Brunelle, RN
• Nicole Katherine Davis, SLP
• Karissa Devins, KARISSA
• Dorothea B Southwick
• Jenny Lois Doser-Bushey
• Minnick Hall

• All providers in Chazy, NY
• Local Education Agency (LEA) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2015; 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.