Organization Active NPI

Level Up Academy

  • Local Education Agency (LEA)
  • White Bear Lake, MN
National Provider Identifier
1487109609
Registry record updated Aug 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
LEVEL UP ACADEMY
Practice address
2600 County Road E E
White Bear Lake, MN 55110-4964
Phone
(651) 408-5559
NPI assigned
Aug 17, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2016

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

Authorized official

Name
Molly Dandelet
Title
Partnership Director
Phone
(651) 408-5559

Specialties & licenses 1

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

Addresses

Primary practice location

2600 County Road E E
White Bear Lake, MN 55110-4964

Mailing address

2600 County Road E E
White Bear Lake, MN 55110-4964

National Provider Directory

National Provider Directory

Locations

2600 County Road E E
White Bear Lake, MN 55110
Phone (651) 408-5559

NPI Registry JSON

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

{
    "created_epoch": "1471392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471392000000",
    "number": "1487109609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 COUNTY ROAD E E",
            "city": "WHITE BEAR LAKE",
            "state": "MN",
            "postal_code": "551104964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 COUNTY ROAD E E",
            "city": "WHITE BEAR LAKE",
            "state": "MN",
            "postal_code": "551104964",
            "telephone_number": "651-408-5559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEVEL UP ACADEMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-17",
        "last_updated": "2016-08-17",
        "status": "A",
        "authorized_official_last_name": "DANDELET",
        "authorized_official_first_name": "MOLLY",
        "authorized_official_title_or_position": "PARTNERSHIP DIRECTOR",
        "authorized_official_telephone_number": "651-408-5559"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Bear Lake, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2016; 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.