Middle Grove C-1 School District

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

MIDDLE GROVE C-1 SCHOOL DISTRICT

Practice address

11476 Route M
Madison, MO 65263-2221

Phone

(660) 291-8583

Fax

(660) 291-8584

NPI assigned

Dec 14, 2006

Last updated

Aug 22, 2020By 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

Betsy Wyant, M.S., CCC-SLP

Title

Speech-Language Pathologist

Phone

(660) 327-1402

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427110758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11476 ROUTE M",
            "city": "MADISON",
            "state": "MO",
            "postal_code": "652632221",
            "telephone_number": "660-291-8583",
            "fax_number": "660-291-8584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11476 ROUTE M",
            "city": "MADISON",
            "state": "MO",
            "postal_code": "652632221",
            "telephone_number": "660-291-8583",
            "fax_number": "660-291-8584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLE GROVE C-1 SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WYANT",
        "authorized_official_first_name": "BETSY",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "660-327-1402",
        "authorized_official_credential": "M.S., CCC-SLP"
    },
    "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 Madison, MO
• Providers in Madison, MO by specialty
• Local Education Agency (LEA) in Missouri

• 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.