Organization Active NPI

Reorganized School District No 1

  • Local Education Agency (LEA)
  • Boonville, MO
National Provider Identifier
1376682955
Registry record updated Jun 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
REORGANIZED SCHOOL DISTRICT NO 1
Practice address
736 Main St
Boonville, MO 65233-1656
Phone
(660) 882-7474
Fax
(660) 882-5721
NPI assigned
Feb 6, 2007
Last updated
Jun 13, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2016

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

Authorized official

Name
Dr. Sarah Marriott
Title
Director
Phone
(660) 882-7474

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU
Occupational Therapist 225X00000X NU
Speech-Language Pathologist 235Z00000X NU
Local Education Agency (LEA) 251300000X NU Primary

Addresses

Primary practice location

736 Main St
Boonville, MO 65233-1656

Mailing address

736 Main St
Boonville, MO 65233-1656
Phone (660) 882-7474

Other identifiers 1

IdentifierTypeStateIssuer
506073907MedicaidMO

National Provider Directory

National Provider Directory

Locations

736 Main St
Boonville, MO 65233
Phone (660) 882-7474

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465776000000",
    "number": "1376682955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "736 MAIN ST",
            "city": "BOONVILLE",
            "state": "MO",
            "postal_code": "652331656",
            "telephone_number": "660-882-7474",
            "fax_number": "660-882-5721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "736 MAIN ST",
            "city": "BOONVILLE",
            "state": "MO",
            "postal_code": "652331656",
            "telephone_number": "660-882-7474",
            "fax_number": "660-882-5721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REORGANIZED SCHOOL DISTRICT NO 1",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2016-06-13",
        "status": "A",
        "authorized_official_last_name": "MARRIOTT",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "660-882-7474",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "506073907",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boonville, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2016; 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.