Organization Active NPI

Spectrum High School

  • Local Education Agency (LEA)
  • Elk River, MN
National Provider Identifier
1457624801
Registry record updated Feb 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
SPECTRUM HIGH SCHOOL
Practice address
17796 Industrial Cir NW
Elk River, MN 55330-4754
Phone
(763) 663-1380
NPI assigned
Feb 15, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2012

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

Authorized official

Name
Karin Ness
Title
Special Education Teacher
Phone
(763) 633-1380

Specialties & licenses 1

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

Addresses

Primary practice location

17796 Industrial Cir NW
Elk River, MN 55330-4754

Mailing address

17796 Industrial Cir NW
Elk River, MN 55330-4754
Phone (763) 663-1380

National Provider Directory

National Provider Directory

Locations

17796 Industrial Cir NW
Elk River, MN 55330
Phone (763) 663-1380

NPI Registry JSON

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

{
    "created_epoch": "1329264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329264000000",
    "number": "1457624801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17796 INDUSTRIAL CIR NW",
            "city": "ELK RIVER",
            "state": "MN",
            "postal_code": "553304754",
            "telephone_number": "763-663-1380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17796 INDUSTRIAL CIR NW",
            "city": "ELK RIVER",
            "state": "MN",
            "postal_code": "553304754",
            "telephone_number": "763-663-1380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM HIGH SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-15",
        "last_updated": "2012-02-15",
        "status": "A",
        "authorized_official_last_name": "NESS",
        "authorized_official_first_name": "KARIN",
        "authorized_official_title_or_position": "SPECIAL EDUCATION TEACHER",
        "authorized_official_telephone_number": "763-633-1380"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk River, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2012; 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.