Organization Active NPI

Aspen Academy

  • Local Education Agency (LEA)
  • Savage, MN
National Provider Identifier
1326410408
Registry record updated Oct 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
License
4189 Issued in MN
Legal business name
ASPEN ACADEMY
Practice address
14825 Zinran Ave
Savage, MN 55378-4557
Phone
(952) 226-5940
Fax
(952) 226-5949
NPI assigned
Oct 28, 2015
Last updated
Oct 28, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2015

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

Authorized official

Name
Mike C. McNulty
Title
Executive Director
Phone
(952) 226-5940

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X 4189 MN Primary

Addresses

Primary practice location

14825 Zinran Ave
Savage, MN 55378-4557

Mailing address

14825 Zirnan Ave
Savage, MN 55378
Phone (952) 226-5940

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D2244567Aspen Academy Charter School14825 Zinran Ave, Savage, MN 55378Certificate of waiverDec 1, 2027

National Provider Directory

National Provider Directory
Tax ID family
Aspen Academy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

14825 Zinran Ave
Savage, MN 55378
Phone (952) 226-5940

NPI Registry JSON

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

{
    "created_epoch": "1445990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445990400000",
    "number": "1326410408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14825 ZIRNAN AVE",
            "city": "SAVAGE",
            "state": "MN",
            "postal_code": "55378",
            "telephone_number": "952-226-5940",
            "fax_number": "952-226-5949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14825 ZINRAN AVE",
            "city": "SAVAGE",
            "state": "MN",
            "postal_code": "553784557",
            "telephone_number": "952-226-5940",
            "fax_number": "952-226-5949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASPEN ACADEMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-28",
        "last_updated": "2015-10-28",
        "status": "A",
        "authorized_official_last_name": "MCNULTY",
        "authorized_official_first_name": "MIKE",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "952-226-5940"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "MN",
            "license": "4189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savage, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2015; 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.

Verify at the official NPI Registry.