NPIMap

Organization Active NPI

Clearwater R-1 School District

  • Local Education Agency (LEA)
  • Piedmont, MO
National Provider Identifier
1508082488
Registry record updated Jun 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
CLEARWATER R-1 SCHOOL DISTRICT
Practice address
825 N Main St
Piedmont, MO 63957-1222
Phone
(573) 223-4812
Fax
(573) 223-7820
NPI assigned
Apr 18, 2007
Last updated
Jun 13, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2016

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

Authorized official

Name
Mrs. Kelly J Jenkins
Title
Director of Special Services
Phone
(573) 223-4812

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU
Occupational Therapist 225X00000X NU
Speech-Language Pathologist 235Z00000X NU
Local Education Agency (LEA) 251300000X NU Primary

Addresses

Primary practice location

825 N Main St
Piedmont, MO 63957-1222

Mailing address

825 N Main St
Piedmont, MO 63957-1222
Phone (573) 223-4812

Other identifiers 1

IdentifierTypeStateIssuer
506074202MedicaidMO

National Provider Directory

National Provider Directory

Locations

825 N Main St
Piedmont, MO 63957
Phone (573) 223-3643

Practitioners & affiliated clinicians

Practitioners 6

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": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465776000000",
    "number": "1508082488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 N MAIN ST",
            "city": "PIEDMONT",
            "state": "MO",
            "postal_code": "639571222",
            "telephone_number": "573-223-4812",
            "fax_number": "573-223-7820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 N MAIN ST",
            "city": "PIEDMONT",
            "state": "MO",
            "postal_code": "639571222",
            "telephone_number": "573-223-4812",
            "fax_number": "573-223-7820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEARWATER R-1 SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2016-06-13",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR OF SPECIAL SERVICES",
        "authorized_official_telephone_number": "573-223-4812",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "506074202",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Piedmont, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.