Active NPI
Superior School District
- Local Education Agency (LEA)
- Superior, WI
National Provider Identifier
1477732196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Local Education Agency (LEA)
- Legal business name
- SUPERIOR SCHOOL DISTRICT
- Practice address
- 3025 Tower Ave
Superior, WI 54880-5369 - Phone
- (715) 394-8710
- Fax
- (715) 394-8708
- NPI assigned
- Oct 30, 2007
- Last updated
- Oct 30, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jay Mitchell
- Title
- District Administrator
- Phone
- (715) 394-8710
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Local Education Agency (LEA) | 251300000X | Primary |
Addresses
Primary practice location
3025 Tower Ave
Superior, WI 54880-5369
Mailing address
3025 Tower Ave
Superior, WI 54880-5369
Phone (715) 394-8710
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 44231300 | Medicaid | WI |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 52D2233586 | School District of Superior | Certificate of waiver | Aug 23, 2027 |
National Provider Directory
National Provider DirectoryLocations
3025 Tower Ave
Superior, WI 54880
Phone (715) 394-8700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193702400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1193702400000",
"number": "1477732196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3025 TOWER AVE",
"city": "SUPERIOR",
"state": "WI",
"postal_code": "548805369",
"telephone_number": "715-394-8710",
"fax_number": "715-394-8708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3025 TOWER AVE",
"city": "SUPERIOR",
"state": "WI",
"postal_code": "548805369",
"telephone_number": "715-394-8710",
"fax_number": "715-394-8708"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUPERIOR SCHOOL DISTRICT",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-30",
"last_updated": "2007-10-30",
"status": "A",
"authorized_official_last_name": "MITCHELL",
"authorized_official_first_name": "JAY",
"authorized_official_title_or_position": "DISTRICT ADMINISTRATOR",
"authorized_official_telephone_number": "715-394-8710"
},
"taxonomies": [
{
"code": "251300000X",
"taxonomy_group": "",
"desc": "Local Education Agency (LEA)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "44231300",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Superior, WI
- Superior Ops, LLC (Lighthouse of Superior)
- Superior Optics Inc.
- Superior Pain Management SC
- Superior Rehabilitation and Care Center LLC (Villa Marina Health and Rehabilitation Center)
- Superior Rehabilitation Center LLC
- Superior Treatment Center, Inc
- Superior Wi Management, LLC (Superior Nursing and Rehabilitation Center)
- Kristine M Swan, MFT-IT
- John Michael Swanson, MA CCC/SLP
- Lauren Swanson
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2007; 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.