St. Croix Preparatory Academy

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

ST. CROIX PREPARATORY ACADEMY

Practice address

4260 Stagecoach TRL N
Stillwater, MN 55082-1197

Phone

(651) 395-5900

NPI assigned

Dec 7, 2011

Organization subpart

No

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

Authorized official

Name

Kelly Gutierrez

Title

Cfo

Phone

(651) 395-5902

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1323216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323216000000",
    "number": "1447528302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4260 STAGECOACH TRL N",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550821197",
            "telephone_number": "651-395-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4260 STAGECOACH TRL N",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550821197",
            "telephone_number": "651-395-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. CROIX PREPARATORY ACADEMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-07",
        "last_updated": "2011-12-07",
        "status": "A",
        "authorized_official_last_name": "GUTIERREZ",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "651-395-5902"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St Croix Vision Center Inc.
• Jennifer St Sauver
• St. Croix Dermatology, PA
• St. Croix Orthopaedics, P.a.
• St. Croix Orthopaedics, P.a.
• St. Croix Radiology Consultants, LLC
• St. Croix Valley Dental, PLLC
• St. Croix Valley Dental, PLLC
• Nicholas St. Ores, M.D.
• Kathleen K St. Peters, PT

• Local Education Agency (LEA) in Stillwater, MN
• Providers in Stillwater, MN by specialty
• Local Education Agency (LEA) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.