Tazewell Mason Cntys SP Ed

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

TAZEWELL MASON CNTYS SP ED

Practice address

300 Cedar St
Pekin, IL 61554-7009

Phone

(309) 347-5167

NPI assigned

Jun 5, 2007

Organization subpart

No

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

Authorized official

Name

Sally Masear

Title

Director

Phone

(309) 347-5167

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487856944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 CEDAR ST",
            "city": "PEKIN",
            "state": "IL",
            "postal_code": "615547009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CEDAR ST",
            "city": "PEKIN",
            "state": "IL",
            "postal_code": "615547009",
            "telephone_number": "309-347-5167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAZEWELL MASON CNTYS SP ED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MASEAR",
        "authorized_official_first_name": "SALLY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "309-347-5167"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela R Sutton, COTA/L
• Lindsay Briann Tate, M.D.
• Brandon C Taylor, CRNA
• Maci Marie Taylor, DPT
• Ronda Gail Taylor, RSA DSP CNA
• Tazwood Center for Human Services
• Tazwood Mental Health Center
• Tazwood Mental Health Center, Inc.
• Tazwood Mental Health Center, Inc.
• Tazwood Mental Health Center, Inc.

• Local Education Agency (LEA) in Pekin, IL
• Providers in Pekin, IL by specialty
• Local Education Agency (LEA) in Illinois

• 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.