Organization Active NPI

Waterloo Comm

  • Local Education Agency (LEA)
  • Waterloo, IL
National Provider Identifier
1356435069
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
WATERLOO COMM
Practice address
200 N Rogers
Waterloo, IL 62298
Phone
(618) 939-3453
NPI assigned
Oct 3, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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
Wayne Kollmeyer
Title
Superintendent
Phone
(618) 939-3453

Specialties & licenses 1

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

Addresses

Primary practice location

200 N Rogers
Waterloo, IL 62298

Mailing address

200 N Rogers
Waterloo, IL 62298
Phone (618) 939-3453

National Provider Directory

National Provider Directory

Locations

200 Rogers St
Waterloo, IL 62298
Phone (618) 920-0152

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356435069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N ROGERS",
            "city": "WATERLOO",
            "state": "IL",
            "postal_code": "62298",
            "telephone_number": "618-939-3453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N ROGERS",
            "city": "WATERLOO",
            "state": "IL",
            "postal_code": "62298",
            "telephone_number": "618-939-3453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERLOO COMM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KOLLMEYER",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "618-939-3453"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterloo, IL

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.