Eagle College Prep Endeavor

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

EAGLE COLLEGE PREP ENDEAVOR

Practice address

2617 Shenandoah Ave
Saint Louis, MO 63104-2311

Phone

(314) 450-7651

Fax

(314) 735-4471

NPI assigned

Jan 18, 2017

Last updated

Jan 18, 2017By 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

Mrs. Dana Shearman

Title

Regional Director of Operations

Phone

(314) 503-2239

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Keyria Shantell Jeffries, LMSW

  • Social Worker
  • Saint Louis, MO
  • NPI 1326565847
  NPD (past)

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

{
    "created_epoch": "1484697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484697600000",
    "number": "1477099117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2617 SHENANDOAH AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631042311",
            "telephone_number": "314-450-7651",
            "fax_number": "314-735-4471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2617 SHENANDOAH AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631042311",
            "telephone_number": "314-450-7651",
            "fax_number": "314-735-4471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE COLLEGE PREP ENDEAVOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-18",
        "last_updated": "2017-01-18",
        "status": "A",
        "authorized_official_last_name": "SHEARMAN",
        "authorized_official_first_name": "DANA",
        "authorized_official_title_or_position": "REGIONAL DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "314-503-2239",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• E. Sutphen MD LLC
• Each Breath Counts
• John Eads, LCSW
• Natalie Eads, FNP
• Alexandra Eager, MSW, LMSW
• Eagle Home Health Care Inc
• Eagle Vision Eye Care, LLC
• Jonah Eaglefeather
• Adrienne Lachelle Eaglin, MSW, LCSW
• Jane Marie Eagon, RN BC ANP

• Local Education Agency (LEA) in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Local Education Agency (LEA) in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2017; 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.