NPIMap

Organization Active NPI

Central Consolidated School District #22

  • Local Education Agency (LEA)
  • Shiprock, NM
National Provider Identifier
1487798567
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
CENTRAL CONSOLIDATED SCHOOL DISTRICT #22
Practice address
US Hwy 64 Old High School Rd
Shiprock, NM 87420
Phone
(505) 368-5163
Fax
(505) 368-5502
NPI assigned
Feb 20, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Erica Harvey
Title
Medicaid Secretary
Phone
(505) 368-5163

Specialties & licenses 1

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

Addresses

Primary practice location

US Hwy 64 Old High School Rd
Shiprock, NM 87420

Mailing address

PO Box 1319
Shiprock, NM 87420-1319
Phone (505) 368-5163

Other identifiers 1

IdentifierTypeStateIssuer
J7695MedicaidNM

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 28

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.

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487798567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1319",
            "city": "SHIPROCK",
            "state": "NM",
            "postal_code": "874201319",
            "telephone_number": "505-368-5163",
            "fax_number": "505-368-5502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "US HWY 64 OLD HIGH SCHOOL RD",
            "city": "SHIPROCK",
            "state": "NM",
            "postal_code": "87420",
            "telephone_number": "505-368-5163",
            "fax_number": "505-368-5502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL CONSOLIDATED SCHOOL DISTRICT #22",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARVEY",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "MEDICAID SECRETARY",
        "authorized_official_telephone_number": "505-368-5163"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "J7695",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shiprock, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.