Wirehollow Education Innovation

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

WIREHOLLOW EDUCATION INNOVATION

Practice address

1921 Broadway
Lubbock, TX 79401-3017

Phone

(806) 701-4994

NPI assigned

Apr 20, 2020

Organization subpart

No

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

Authorized official

Name

Brooke Phillips

Title

Business Manager

Phone

(806) 701-4994

Specialties & licenses 1

Addresses

Other names 1

• Betty M. Condra School for Education Innovation Doing business as

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1587340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587427200000",
    "number": "1548880552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1921 BROADWAY",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794013017",
            "telephone_number": "806-701-4994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1921 BROADWAY",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794013017",
            "telephone_number": "806-701-4994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WIREHOLLOW EDUCATION INNOVATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-20",
        "last_updated": "2020-04-21",
        "certification_date": "2020-04-21",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "806-701-4994"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bphillips@condraschool.com",
            "affiliation": "N",
            "address_1": "1921 Broadway",
            "city": "Lubbock",
            "state": "TX",
            "country_code": "US",
            "postal_code": "794013017",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Betty M. Condra School for Education Innovation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Richard E Winn, MD
• Winston Whitt MD P a
• Mark L. Winter, M.D.
• Rose Danielle Winter, FNP
• John-Paul Wirba
• Tabra Dee Wischkaemper, FNP
• Jason B Wischmeyer, M.D.
• Emily Paige Wisdom
• Tiffani Wise, FNP
• Keith Wayne Wisniewski, M.D.

• Local Education Agency (LEA) in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Local Education Agency (LEA) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.