Organization Active NPI

Waverly Shell Rock Community School District

  • Local Education Agency (LEA)
  • Waverly, IA
National Provider Identifier
1336298116
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
WAVERLY SHELL ROCK COMMUNITY SCHOOL DISTRICT
Practice address
1415 4TH Ave SW
Waverly, IA 50677-2821
Phone
(319) 352-3630
Fax
(319) 352-5676
NPI assigned
Jan 9, 2007
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
Mr. Jere Vyverberg
Title
Superintendent
Phone
(319) 352-3630

Specialties & licenses 1

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

Addresses

Primary practice location

1415 4TH Ave SW
Waverly, IA 50677-2821

Mailing address

1415 4TH Ave SW
Waverly, IA 50677-2821
Phone (319) 352-3630

Other identifiers 1

IdentifierTypeStateIssuer
0441089MedicaidIA

Other names 1

  • Area Education Agency 267 Other name

National Provider Directory

National Provider Directory

Locations

1415 4th Ave SW
Waverly, IA 50677
Phone (319) 352-3630

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336298116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 4TH AVE SW",
            "city": "WAVERLY",
            "state": "IA",
            "postal_code": "506772821",
            "telephone_number": "319-352-3630",
            "fax_number": "319-352-5676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 4TH AVE SW",
            "city": "WAVERLY",
            "state": "IA",
            "postal_code": "506772821",
            "telephone_number": "319-352-3630",
            "fax_number": "319-352-5676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAVERLY SHELL ROCK COMMUNITY SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VYVERBERG",
        "authorized_official_first_name": "JERE",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "319-352-3630",
        "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": "0441089",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Area Education Agency 267",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Waverly, IA

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.