Organization Active NPI

Champlain Valley School District

  • Local Education Agency (LEA)
  • Shelburne, VT
National Provider Identifier
1366306813
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
CHAMPLAIN VALLEY SCHOOL DISTRICT
Practice address
5420 Shelburne Road
Suite 300
Shelburne, VT 05482
Phone
(802) 383-1234
Fax
(802) 383-1242
NPI assigned
Dec 10, 2025
Last updated
Dec 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2025

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

Authorized official

Name
Mr. Gary Marckres
Title
Chief Operations Officer
Phone
(802) 482-7522

Specialties & licenses 1

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

Addresses

Primary practice location

5420 Shelburne Road
Suite 300
Shelburne, VT 05482

Mailing address

5420 Shelburne Road
Suite 300
Shelburne, VT 05482
Phone (802) 383-1234

Other identifiers 1

IdentifierTypeStateIssuer
1029926MedicaidVT

National Provider Directory

National Provider Directory

Locations

5420 Shelburne Rd
#300
Shelburne, VT 05482
Phone (802) 383-1234

NPI Registry JSON

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

{
    "created_epoch": "1765324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765324800000",
    "number": "1366306813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5420 SHELBURNE ROAD",
            "address_2": "SUITE 300",
            "city": "SHELBURNE",
            "state": "VT",
            "postal_code": "05482",
            "telephone_number": "802-383-1234",
            "fax_number": "802-383-1242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5420 SHELBURNE ROAD",
            "address_2": "SUITE 300",
            "city": "SHELBURNE",
            "state": "VT",
            "postal_code": "05482",
            "telephone_number": "802-383-1234",
            "fax_number": "802-383-1242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAMPLAIN VALLEY SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-10",
        "last_updated": "2025-12-10",
        "status": "A",
        "authorized_official_last_name": "MARCKRES",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "CHIEF OPERATIONS OFFICER",
        "authorized_official_telephone_number": "802-482-7522",
        "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": "1029926",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelburne, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2025; 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.