Organization Active NPI

West Side Summit Charter School

  • Local Education Agency (LEA)
  • Saint Paul, MN
National Provider Identifier
1417312455
Registry record updated Dec 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
WEST SIDE SUMMIT CHARTER SCHOOL
Practice address
497 Humboldt Ave
Saint Paul, MN 55107-2866
Phone
(651) 200-4543
NPI assigned
Dec 17, 2015
Last updated
Dec 17, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2015

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

Authorized official

Name
Karen Klinzing
Title
Executive Director
Phone
(651) 200-4543

Specialties & licenses 1

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

Addresses

Primary practice location

497 Humboldt Ave
Saint Paul, MN 55107-2866

Mailing address

497 Humboldt Ave
Saint Paul, MN 55107-2866

National Provider Directory

National Provider Directory

Locations

497 Humboldt Ave
Saint Paul, MN 55107
Phone (612) 423-0001

NPI Registry JSON

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

{
    "created_epoch": "1450310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450310400000",
    "number": "1417312455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "497 HUMBOLDT AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551072866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "497 HUMBOLDT AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551072866",
            "telephone_number": "651-200-4543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST SIDE SUMMIT CHARTER SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-17",
        "last_updated": "2015-12-17",
        "status": "A",
        "authorized_official_last_name": "KLINZING",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "651-200-4543"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2015; 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.