Organization Active NPI

St Marys of the Lake School

  • Local Education Agency (LEA)
  • Hamburg, NY
National Provider Identifier
1487922464
Registry record updated Dec 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
License
425640 Issued in NY
Legal business name
ST MARYS OF THE LAKE SCHOOL
Practice address
4737 Lake Shore Rd
Hamburg, NY 14075-3308
Phone
(716) 627-7700
Fax
(716) 627-1255
NPI assigned
Dec 6, 2011
Last updated
Dec 6, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2011

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

Authorized official

Name
Mrs. Kristine Hider
Title
Pricipal
Phone
(716) 627-7700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X 425640 NY Primary

Addresses

Primary practice location

4737 Lake Shore Rd
Hamburg, NY 14075-3308

Mailing address

4737 Lake Shore Rd
Hamburg, NY 14075-3308
Phone (716) 627-7700

National Provider Directory

National Provider Directory

Locations

4737 Lake Shore Rd
Hamburg, NY 14075
Phone (716) 627-7700

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1323129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323129600000",
    "number": "1487922464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4737 LAKE SHORE RD",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140753308",
            "telephone_number": "716-627-7700",
            "fax_number": "716-627-1255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4737 LAKE SHORE RD",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140753308",
            "telephone_number": "716-627-7700",
            "fax_number": "716-627-1255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST MARYS OF THE LAKE SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-06",
        "last_updated": "2011-12-06",
        "status": "A",
        "authorized_official_last_name": "HIDER",
        "authorized_official_first_name": "KRISTINE",
        "authorized_official_title_or_position": "PRICIPAL",
        "authorized_official_telephone_number": "716-627-7700",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NY",
            "license": "425640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamburg, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2011; 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.