Organization Active NPI

Kent Intermediate School District

  • Local Education Agency (LEA)
  • Grand Rapids, MI
National Provider Identifier
1326050857
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
KENT INTERMEDIATE SCHOOL DISTRICT
Practice address
2930 Knapp St NE
Grand Rapids, MI 49525-4518
Phone
(616) 365-2395
Fax
(616) 365-2336
NPI assigned
Aug 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Susan Ann Szymas
Title
Accountant-Special Projects
Phone
(616) 365-2395

Specialties & licenses 1

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

Addresses

Primary practice location

2930 Knapp St NE
Grand Rapids, MI 49525-4518

Mailing address

2930 Knapp St NE
Grand Rapids, MI 49525-4518
Phone (616) 365-2395

Other identifiers 1

IdentifierTypeStateIssuer
2933897MedicaidMI

National Provider Directory

National Provider Directory

Locations

2930 Knapp St NE
Grand Rapids, MI 49525
Phone (517) 652-4687

NPI Registry JSON

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326050857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2930 KNAPP ST NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495254518",
            "telephone_number": "616-365-2395",
            "fax_number": "616-365-2336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2930 KNAPP ST NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495254518",
            "telephone_number": "616-365-2395",
            "fax_number": "616-365-2336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENT INTERMEDIATE SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SZYMAS",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "ACCOUNTANT-SPECIAL PROJECTS",
        "authorized_official_telephone_number": "616-365-2395",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2933897",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.