Randolph School District

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

RANDOLPH SCHOOL DISTRICT

Practice address

110 Meadowood Dr
Randolph, WI 53956-1318

Phone

(920) 326-2427

Fax

(920) 326-2439

NPI assigned

Aug 29, 2007

Organization subpart

No

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

Authorized official

Name

Gregory Peyer

Title

District Administrator

Phone

(920) 326-2427

Specialties & licenses 1

Addresses

Other identifiers 1

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188345600000",
    "number": "1376737882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 MEADOWOOD DR",
            "city": "RANDOLPH",
            "state": "WI",
            "postal_code": "539561318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 MEADOWOOD DR",
            "city": "RANDOLPH",
            "state": "WI",
            "postal_code": "539561318",
            "telephone_number": "920-326-2427",
            "fax_number": "920-326-2439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDOLPH SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-29",
        "last_updated": "2007-08-29",
        "status": "A",
        "authorized_official_last_name": "PEYER",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "DISTRICT ADMINISTRATOR",
        "authorized_official_telephone_number": "920-326-2427"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "44228800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• NSH Randolph LLC
• Kristen Rabensdorf
• Randolph Community Clinic SC
• Randolph Community Rescue Ambulance
• Randolph Family Dental LLC
• Shannon N Sandstrom, NP
• Emily J Seltzner, RD
• Wendy Lunnette Sherwood, IBCLC
• Tara Sosalla
• Samantha Sussek

• Local Education Agency (LEA) in Randolph, WI
• Providers in Randolph, WI by specialty
• Local Education Agency (LEA) in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2007; 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.