Princeton School District

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

PRINCETON SCHOOL DISTRICT

Practice address

604 Old Green Lake Rd
Princeton, WI 54968-8667

Phone

(920) 295-6151

Fax

(920) 295-4778

NPI assigned

Aug 29, 2007

Last updated

Aug 29, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Robert Beaver

Title

District Administrator

Phone

(920) 295-6151

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1386838894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 OLD GREEN LAKE RD",
            "city": "PRINCETON",
            "state": "WI",
            "postal_code": "549688667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 OLD GREEN LAKE RD",
            "city": "PRINCETON",
            "state": "WI",
            "postal_code": "549688667",
            "telephone_number": "920-295-6151",
            "fax_number": "920-295-4778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINCETON SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-29",
        "last_updated": "2007-08-29",
        "status": "A",
        "authorized_official_last_name": "BEAVER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "DISTRICT ADMINISTRATOR",
        "authorized_official_telephone_number": "920-295-6151"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "44228900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joann Lynn Jones Holden, C.O.T.A.
• Carrie J Knurowski, RDH
• Martin Occupational Therapy Services LLC
• Diana Martin, OTR/L
• Cynthia Ann Palecek
• River Run Pharmacies, Inc (CWP - Princeton)
• River Run Pharmacies, Inc (Central Wisconsin Pharmacy)
• Heather Lee Schultz
• Craig Steven Smestad, DDS
• Sunnyview Health Care Center Inc.

• Local Education Agency (LEA) in Princeton, WI
• Providers in Princeton, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.