Community of Peace Academy 4015-07

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

COMMUNITY OF PEACE ACADEMY 4015-07

Practice address

471 Magnolia Ave E
Saint Paul, MN 55130-3849

Phone

(651) 776-5151

Fax

(651) 771-4841

NPI assigned

Oct 25, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Rob Fulton

Title

Board of Directors Chair

Phone

(651) 699-3379

Specialties & licenses 1

Addresses

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Donna M Brittain

  • Pediatric Occupational Therapist
  • Saint Paul, MN
  • NPI 1356299507
  NPD (past)
• Lauren Erickson, LGSW

  • Social Worker
  • Plymouth, MN
  • NPI 1972339802
  NPD (past)
• Briana Garcia-Saldana

  • School Social Worker
  • Saint Paul, MN
  • NPI 1104754431
  NPD (past)
• Sydney Hrastich, OTR/L

  • Occupational Therapist
  • Saint Paul, MN
  • NPI 1972336014
  NPD (past)
• Michelle M York

  • School Social Worker
  • Saint Paul, MN
  • NPI 1255274304
  NPD (past)

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

{
    "created_epoch": "1193270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193270400000",
    "number": "1457530545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "471 MAGNOLIA AVE E",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551303849",
            "telephone_number": "651-776-5151",
            "fax_number": "651-771-4841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "471 MAGNOLIA AVE E",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551303849",
            "telephone_number": "651-776-5151",
            "fax_number": "651-771-4841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY OF PEACE ACADEMY 4015-07",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-25",
        "last_updated": "2007-10-25",
        "status": "A",
        "authorized_official_last_name": "FULTON",
        "authorized_official_first_name": "ROB",
        "authorized_official_title_or_position": "BOARD OF DIRECTORS CHAIR",
        "authorized_official_telephone_number": "651-699-3379",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Community Collective Services LLC
• Community Connections Partnership
• Community Connections Partnership
• Community Health Chiropractic Clinic, P.a.
• Community Healthkare Inc.
• Community Options St. Paul, LLC
• Community Psychology of Minnesota, LLC
• Community School of Excellence
• Como Chiropractic Health Center, PA
• Como Park Dentistry PA

• Local Education Agency (LEA) in Saint Paul, MN
• Providers in Saint Paul, 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 Oct 25, 2007; 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.