NPIMap

Organization Active NPI

Northwestern R-I School

  • Local Education Agency (LEA)
  • Mendon, MO
National Provider Identifier
1548386147
Registry record updated Jul 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
NORTHWESTERN R-I SCHOOL
Practice address
18475 Hwy 11
Northwestern R-I School
Mendon, MO 64660-0043
Phone
(660) 272-3201
Fax
(660) 272-3419
NPI assigned
Mar 22, 2007
Last updated
Jul 6, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2015

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

Authorized official

Name
Mrs. Lisa D Gladbach
Title
District Coordinator
Phone
(660) 272-3201

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X
Occupational Therapist 225X00000X
Speech-Language Pathologist 235Z00000X
Local Education Agency (LEA) 251300000X Primary

Addresses

Primary practice location

18475 Hwy 11
Northwestern R-I School
Mendon, MO 64660-0043

Mailing address

PO Box 43
18475 Hwy 11
Mendon, MO 64660-0043
Phone (660) 272-3201

Other identifiers 1

IdentifierTypeStateIssuer
506083005MedicaidMO

National Provider Directory

National Provider Directory

Locations

18475 Highway 11
Mendon, MO 64660
Phone (660) 272-3201

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436140800000",
    "number": "1548386147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 43",
            "address_2": "18475 HWY 11",
            "city": "MENDON",
            "state": "MO",
            "postal_code": "646600043",
            "telephone_number": "660-272-3201",
            "fax_number": "660-272-3419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18475 HWY 11",
            "address_2": "NORTHWESTERN R-I SCHOOL",
            "city": "MENDON",
            "state": "MO",
            "postal_code": "646600043",
            "telephone_number": "660-272-3201",
            "fax_number": "660-272-3419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWESTERN R-I SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2015-07-06",
        "status": "A",
        "authorized_official_last_name": "GLADBACH",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DISTRICT COORDINATOR",
        "authorized_official_telephone_number": "660-272-3201",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_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": "506083005",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mendon, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2015; 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.