North Lakes Charter Academy

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

NORTH LAKES CHARTER ACADEMY

Practice address

255 7TH Ave NW Ste B
Forest Lake, MN 55025-1177

Phone

(651) 982-2773

Fax

(651) 464-6409

NPI assigned

Oct 14, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Janice Rae Jensen

Title

Business Manager

Phone

(651) 982-2773

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1318550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318550400000",
    "number": "1487939005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 7TH AVE NW STE B",
            "city": "FOREST LAKE",
            "state": "MN",
            "postal_code": "550251177",
            "telephone_number": "651-982-2773",
            "fax_number": "651-464-6409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 7TH AVE NW STE B",
            "city": "FOREST LAKE",
            "state": "MN",
            "postal_code": "550251177",
            "telephone_number": "651-982-2773",
            "fax_number": "651-464-6409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH LAKES CHARTER ACADEMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-14",
        "last_updated": "2011-10-14",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "JANICE",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "651-982-2773",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Briana M Nelson, DPT
• Paul W Nerothin, MD
• Neve Inc
• Jessica Tien Thuy Nguyen
• Cassie Nieman, M.A.
• Jill Christine Nuebel
• Tabatha L Obert
• Weston Mark Obrycki, DPT
• Oluwakemi Tinuke Olowoyo, M.D
• Janet Darlene Olson, PT, OTR

• Local Education Agency (LEA) in Forest Lake, MN
• Providers in Forest Lake, MN by specialty
• Local Education Agency (LEA) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.