Organization Active NPI

Southern Prairie Aea 15

  • Local Education Agency (LEA)
  • Ottumwa, IA
National Provider Identifier
1518021666
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
SOUTHERN PRAIRIE AEA 15
Practice address
2814 N Court St
Ottumwa, IA 52501-1163
Phone
(641) 682-8591
Fax
(641) 682-9083
NPI assigned
Dec 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mary Ellen Becker
Title
Director of Special Education
Phone
(641) 682-8591

Specialties & licenses 1

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

Addresses

Primary practice location

2814 N Court St
Ottumwa, IA 52501-1163

Mailing address

2814 N Court St
Ottumwa, IA 52501-1163
Phone (641) 682-8591

Other identifiers 1

IdentifierTypeStateIssuer
0051862MedicaidIA

National Provider Directory

National Provider Directory
Tax ID family
Southern Prairie Aea 152 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1518021666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2814 N COURT ST",
            "city": "OTTUMWA",
            "state": "IA",
            "postal_code": "525011163",
            "telephone_number": "641-682-8591",
            "fax_number": "641-682-9083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2814 N COURT ST",
            "city": "OTTUMWA",
            "state": "IA",
            "postal_code": "525011163",
            "telephone_number": "641-682-8591",
            "fax_number": "641-682-9083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN PRAIRIE AEA 15",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BECKER",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "DIRECTOR OF SPECIAL EDUCATION",
        "authorized_official_telephone_number": "641-682-8591"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0051862",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ottumwa, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.