NPIMap

Organization Active NPI

Special School District of Pemiscot

  • Local Education Agency (LEA)
  • Hayti, MO
National Provider Identifier
1508908419
Registry record updated Jun 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
SPECIAL SCHOOL DISTRICT OF PEMISCOT
Practice address
1317 State Highway 84
Hayti, MO 63851-1666
Phone
(573) 359-0011
Fax
(573) 359-6525
NPI assigned
Feb 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2016

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

Authorized official

Name
Shera Crawford
Title
Special Services Director
Phone
(573) 359-0021

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X
Local Education Agency (LEA) 251300000X Primary

Addresses

Primary practice location

1317 State Highway 84
Hayti, MO 63851-1666

Mailing address

1317 State Highway 84
Hayti, MO 63851-1666
Phone (573) 359-0011

Other identifiers 1

IdentifierTypeStateIssuer
506257005MedicaidMO

National Provider Directory

National Provider Directory

Locations

1317 State Highway 84
Hayti, MO 63851
Phone (573) 359-0011

Practitioners & affiliated clinicians

Practitioners 3

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": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465948800000",
    "number": "1508908419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1317 STATE HIGHWAY 84",
            "city": "HAYTI",
            "state": "MO",
            "postal_code": "638511666",
            "telephone_number": "573-359-0011",
            "fax_number": "573-359-6525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1317 STATE HIGHWAY 84",
            "city": "HAYTI",
            "state": "MO",
            "postal_code": "638511666",
            "telephone_number": "573-359-0011",
            "fax_number": "573-359-6525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIAL SCHOOL DISTRICT OF PEMISCOT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2016-06-15",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD",
        "authorized_official_first_name": "SHERA",
        "authorized_official_title_or_position": "SPECIAL SERVICES DIRECTOR",
        "authorized_official_telephone_number": "573-359-0021"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "506257005",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hayti, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.