Organization Active NPI

Elevate Academy East Idaho

  • Local Education Agency (LEA)
  • Idaho Falls, ID
National Provider Identifier
1508758400
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
ELEVATE ACADEMY EAST IDAHO
Practice address
1873 Walton Ave
Idaho Falls, ID 83401-6842
Phone
(986) 800-5350
NPI assigned
Jul 16, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2025

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

Authorized official

Name
Jennifer AndersonNPI 1568353886
Title
Lead Special Education Teacher
Phone
(986) 800-5350

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1873 Walton Ave
Idaho Falls, ID 83401-6842

Mailing address

1873 Walton Ave
Idaho Falls, ID 83401-6842
Phone (986) 800-5350

National Provider Directory

National Provider Directory

Locations

1873 Walton Ave
Idaho Falls, ID 83401
Phone (986) 800-5350

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1752624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753660800000",
    "number": "1508758400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1873 WALTON AVE",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834016842",
            "telephone_number": "986-800-5350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1873 WALTON AVE",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834016842",
            "telephone_number": "986-800-5350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATE ACADEMY EAST IDAHO",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-16",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "LEAD SPECIAL EDUCATION TEACHER",
        "authorized_official_telephone_number": "986-800-5350"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Idaho Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2025; 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.