Forest Lake Area Schools #831

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

License

8031505 Issued in MN

Legal business name

FOREST LAKE AREA SCHOOLS #831

Practice address

6100 210TH St N
Forest Lake, MN 55025-9617

Phone

(651) 982-8100

Fax

(651) 982-8114

NPI assigned

Oct 23, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Larry Martini

Title

Director of Business Affairs

Phone

(651) 982-8125

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Angela Marie Diaz, OTR/L

  • Occupational Therapist
  • Forest Lake, MN
  • NPI 1891635769
  NPD (past)
• Kathryn M Mitchell, OTR

  • Occupational Therapist
  • Forest Lake, MN
  • NPI 1932265857
  NPD (past)
• Emily Waldoch

  • Speech-Language Pathologist
  • Wyoming, MN
  • NPI 1497018501
  NPD (past)

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407939747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 210TH ST N",
            "city": "FOREST LAKE",
            "state": "MN",
            "postal_code": "550259617",
            "telephone_number": "651-982-8100",
            "fax_number": "651-982-8114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 210TH ST N",
            "city": "FOREST LAKE",
            "state": "MN",
            "postal_code": "550259617",
            "telephone_number": "651-982-8100",
            "fax_number": "651-982-8114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREST LAKE AREA SCHOOLS #831",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARTINI",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "DIRECTOR OF BUSINESS AFFAIRS",
        "authorized_official_telephone_number": "651-982-8125",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "MN",
            "license": "8031505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fairview Express Care
• Fairview Health Services
• Brenda Lee Fandel, D.C.
• Colleen Michelle Flaten
• Neh Buma Foncham, PSYCHIATRIC NP
• Forest Lake Chiropractic Clinic, P.a.
• Forest Lake Endodontics
• Forest Lake Home Care Inc
• Forest Lake Optometric Center
• Forest Lake Orthodontics

• Local Education Agency (LEA) in Forest Lake, MN
• Providers in Forest Lake, 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 Aug 22, 2020; 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.