Organization Active NPI

Thea Bowman Leadership Academy

  • Local Education Agency (LEA)
  • Gary, IN
National Provider Identifier
1437079464
Registry record updated Jul 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
THEA BOWMAN LEADERSHIP ACADEMY
Practice address
3401 W 5TH Ave
Gary, IN 46406-1727
Phone
(219) 944-3100
NPI assigned
Jul 20, 2026
Last updated
Jul 20, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2026

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

Authorized official

Name
Shannon Davis
Title
Director of Special Education
Phone
(219) 944-3100

Specialties & licenses 1

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

Addresses

Primary practice location

3401 W 5TH Ave
Gary, IN 46406-1727

Mailing address

3401 W 5TH Ave
Gary, IN 46406-1727
Phone (219) 944-3100

National Provider Directory

National Provider Directory

Locations

3401 W 5th Ave
Gary, IN 46406

NPI Registry JSON

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

{
    "created_epoch": "1784505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784505600000",
    "number": "1437079464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 W 5TH AVE",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464061727",
            "telephone_number": "219-944-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 W 5TH AVE",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464061727",
            "telephone_number": "219-944-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THEA BOWMAN LEADERSHIP ACADEMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-20",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "DIRECTOR OF SPECIAL EDUCATION",
        "authorized_official_telephone_number": "219-944-3100"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gary, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; 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.