Organization Active NPI

Kalamazoo Regional Educational Service Agency

  • Local Education Agency (LEA)
  • Kalamazoo, MI
National Provider Identifier
1518994698
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
KALAMAZOO REGIONAL EDUCATIONAL SERVICE AGENCY
Practice address
1819 E. Milham Rd
Kalamazoo, MI 49002
Phone
(269) 385-1536
Fax
(269) 381-3523
NPI assigned
Jun 26, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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
Ms. Laurel K. Jefsen
Title
Administrator
Phone
(269) 385-1536

Specialties & licenses 1

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

Addresses

Primary practice location

1819 E. Milham Rd
Kalamazoo, MI 49002

Mailing address

1819 E Milham Ave
Kalamazoo, MI 49002-3035
Phone (269) 385-1536

Other identifiers 1

IdentifierTypeStateIssuer
3019267MedicaidMI

National Provider Directory

National Provider Directory

Locations

1819 E Milham Ave
Portage, MI 49002
Phone (269) 385-1536

NPI Registry JSON

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1518994698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1819 E MILHAM AVE",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490023035",
            "telephone_number": "269-385-1536",
            "fax_number": "269-381-3523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1819 E. MILHAM RD",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "49002",
            "telephone_number": "269-385-1536",
            "fax_number": "269-381-3523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KALAMAZOO REGIONAL EDUCATIONAL SERVICE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JEFSEN",
        "authorized_official_first_name": "LAUREL",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "269-385-1536",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3019267",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

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.