Heritage Academy

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

HERITAGE ACADEMY

Practice address

500 S Lincoln Ave
Jerome, ID 83338-3027

Phone

(208) 595-1617

Fax

(208) 595-1619

NPI assigned

Dec 19, 2011

Last updated

Dec 19, 2011By 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

Celeste Blackburn

Title

Operations Manager

Phone

(208) 922-9300

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1324252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324252800000",
    "number": "1437428588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S LINCOLN AVE",
            "city": "JEROME",
            "state": "ID",
            "postal_code": "833383027",
            "telephone_number": "208-595-1617",
            "fax_number": "208-595-1619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S LINCOLN AVE",
            "city": "JEROME",
            "state": "ID",
            "postal_code": "833383027",
            "telephone_number": "208-595-1617",
            "fax_number": "208-595-1619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE ACADEMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-19",
        "last_updated": "2011-12-19",
        "status": "A",
        "authorized_official_last_name": "BLACKBURN",
        "authorized_official_first_name": "CELESTE",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "208-922-9300"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Harper, BA, MA
• Jon E Heitzman, O.D.
• Ronald Gail Hendrickson, DDS
• Adena Ursula Henry
• Kaleb Mikal Henson
• Adam James Hill, PHARM D
• Devon Hope
• Tara Jaye Hoskovec, FNP-C
• Maria Guadalupe Hurtado
• James S Irwin, M.D.

• Local Education Agency (LEA) in Jerome, ID
• Providers in Jerome, 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 Dec 19, 2011; 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.