Phoenix Academy of Art and Science

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

PHOENIX ACADEMY OF ART AND SCIENCE

Practice address

38460 Lincoln TRL Ste 1
North Branch, MN 55056-5834

Phone

(763) 402-0061

NPI assigned

Oct 11, 2018

Last updated

Oct 11, 2018By 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

Dr. Jacqueline Marie Krohn, PHD

Title

Principal

Phone

(763) 402-0061

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1539216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539216000000",
    "number": "1396210761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38460 LINCOLN TRL STE 1",
            "city": "NORTH BRANCH",
            "state": "MN",
            "postal_code": "550565834",
            "telephone_number": "763-402-0061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38460 LINCOLN TRL STE 1",
            "city": "NORTH BRANCH",
            "state": "MN",
            "postal_code": "550565834",
            "telephone_number": "763-402-0061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX ACADEMY OF ART AND SCIENCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-11",
        "last_updated": "2018-10-11",
        "status": "A",
        "authorized_official_last_name": "KROHN",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "763-402-0061",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Local Education Agency (LEA) in North Branch, MN
• Providers in North Branch, MN by specialty
• Local Education Agency (LEA) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2018; 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.