Active NPI
Imagine Academy of Esm
- Local Education Agency (LEA)
- Saint Louis, MO
National Provider Identifier
1548414790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Local Education Agency (LEA)
- Legal business name
- IMAGINE ACADEMY OF ESM
- Practice address
- 1008 S Spring Ave
Saint Louis, MO 63110-2520 - Phone
- (314) 773-4400
- NPI assigned
- Nov 13, 2008
- Last updated
- Nov 13, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Angele Thibodeaux-Burns
- Title
- Principle K-5
- Phone
- (314) 773-4400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Local Education Agency (LEA) | 251300000X | NU | Primary |
Addresses
Primary practice location
1008 S Spring Ave
Saint Louis, MO 63110-2520
Mailing address
1008 S Spring Ave
Saint Louis, MO 63110-2520
Phone (314) 773-4400
National Provider Directory
National Provider DirectoryLocations
1008 S Spring Ave
Saint Louis, MO 63110
Phone (314) 617-3237
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.
-
- Speech-Language Pathologist
- Saint Louis, MO
- NPI 1699912154
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226534400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1226534400000",
"number": "1548414790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1008 S SPRING AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631102520",
"telephone_number": "314-773-4400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1008 S SPRING AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631102520",
"telephone_number": "314-773-4400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IMAGINE ACADEMY OF ESM",
"organizational_subpart": "NO",
"enumeration_date": "2008-11-13",
"last_updated": "2008-11-13",
"status": "A",
"authorized_official_last_name": "THIBODEAUX-BURNS",
"authorized_official_first_name": "ANGELE",
"authorized_official_title_or_position": "PRINCIPLE K-5",
"authorized_official_telephone_number": "314-773-4400"
},
"taxonomies": [
{
"code": "251300000X",
"taxonomy_group": "",
"desc": "Local Education Agency (LEA)",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.