Idaho Leadership Academy Inc.

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

IDAHO LEADERSHIP ACADEMY INC.

Practice address

1506 W. 560 S.
Pingree, ID 83262-0059

Phone

(208) 684-9696

Fax

(208) 684-9404

NPI assigned

Jun 5, 2007

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

Christina R. Nelson

Title

Business Manager

Phone

(208) 684-9696

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437351871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 59",
            "address_2": "1506 W. 560 S.",
            "city": "PINGREE",
            "state": "ID",
            "postal_code": "832620059",
            "telephone_number": "208-684-9696",
            "fax_number": "208-684-9404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1506 W. 560 S.",
            "city": "PINGREE",
            "state": "ID",
            "postal_code": "832620059",
            "telephone_number": "208-684-9696",
            "fax_number": "208-684-9404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDAHO LEADERSHIP ACADEMY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "208-684-9696"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kierra Belk
• Jocelyn Hoge
• Karrie Smith, LPC

• Local Education Agency (LEA) in Pingree, ID
• Providers in Pingree, ID by specialty
• Local Education Agency (LEA) in Idaho

• 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.