NPIMap

Organization Active NPI

Mission Achievement and Success Charter School

  • Local Education Agency (LEA)
  • Albuquerque, NM
National Provider Identifier
1407106602
Registry record updated Sep 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
MISSION ACHIEVEMENT AND SUCCESS CHARTER SCHOOL
Practice address
1718 Yale Blvd SE
Albuquerque, NM 87106-4286
Phone
(505) 242-3118
Fax
(505) 242-3062
NPI assigned
Sep 14, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2012

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

Authorized official

Name
Mrs. Jennifer M. Pena
Title
Special Education Coordinator
Phone
(505) 242-3118

Specialties & licenses 1

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

Addresses

Primary practice location

1718 Yale Blvd SE
Albuquerque, NM 87106-4286

Mailing address

1718 Yale Blvd SE
Albuquerque, NM 87106-4286
Phone (505) 242-3118

National Provider Directory

National Provider Directory

Locations

1718 Yale Blvd SE
Albuquerque, NM 87106
Phone (505) 242-3118

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1347580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347580800000",
    "number": "1407106602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1718 YALE BLVD SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871064286",
            "telephone_number": "505-242-3118",
            "fax_number": "505-242-3062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1718 YALE BLVD SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871064286",
            "telephone_number": "505-242-3118",
            "fax_number": "505-242-3062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION ACHIEVEMENT AND SUCCESS CHARTER SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-14",
        "last_updated": "2012-09-14",
        "status": "A",
        "authorized_official_last_name": "PENA",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "SPECIAL EDUCATION COORDINATOR",
        "authorized_official_telephone_number": "505-242-3118",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2012; 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.