Storm Lake C.S.D.

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

STORM LAKE C.S.D.

Practice address

419 Lake Ave
Storm Lake, IA 50588-2436

Phone

(712) 732-8060

NPI assigned

Jan 5, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Paul Tedesco

Title

Superintendent

Phone

(712) 732-8060

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528115094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 LAKE AVE",
            "city": "STORM LAKE",
            "state": "IA",
            "postal_code": "505882436",
            "telephone_number": "712-732-8060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 LAKE AVE",
            "city": "STORM LAKE",
            "state": "IA",
            "postal_code": "505882436",
            "telephone_number": "712-732-8060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STORM LAKE C.S.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TEDESCO",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "712-732-8060"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0466342",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erin Smith, ARNP
• Jordan Lea Jewel Sniderhan, PHARMD
• Spectra Health Care, Inc.
• Sports Rehab & Professional Therapy Associates
• Sports Rehab and Professional Therapy Associates Inc (Sports Rehab & Professional Therapy)
• Storm Lake Cab LLC
• Storm Lake Hearing Aid Service, Inc
• Storm Lake Medical, P.C.
• Megan Alta Sullivan, O.D.
• Tracy Ann Thomas, PH.D.

• Local Education Agency (LEA) in Storm Lake, IA
• Providers in Storm Lake, IA by specialty
• Local Education Agency (LEA) in Iowa

• 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.