St. Joseph County Isd

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

ST. JOSEPH COUNTY ISD

Practice address

62445 Shimmel Rd
Centreville, MI 49032-9527

Phone

(269) 467-5400

Fax

(269) 467-4309

NPI assigned

Nov 9, 2006

Organization subpart

No

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

Authorized official

Name

Colleen Conkle

Title

Financial Assistant

Phone

(269) 467-5418

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Allyssa Grace Mazur-Batistoni

  • Speech-Language Pathologist
  • Centreville, MI
  • NPI 1346859808
  NPD (past)

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1578633269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62445 SHIMMEL RD",
            "city": "CENTREVILLE",
            "state": "MI",
            "postal_code": "490329527",
            "telephone_number": "269-467-5400",
            "fax_number": "269-467-4309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62445 SHIMMEL RD",
            "city": "CENTREVILLE",
            "state": "MI",
            "postal_code": "490329527",
            "telephone_number": "269-467-5400",
            "fax_number": "269-467-4309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. JOSEPH COUNTY ISD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CONKLE",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_title_or_position": "FINANCIAL ASSISTANT",
        "authorized_official_telephone_number": "269-467-5418"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2989210",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lily Schultz
• Dylan John Schwartz
• Kelly Richelle Shafer, LPN
• Ana Susan Smith
• Thomas M Spirito, MSW
• McKay Stafford
• Deana Strudwick, LMSW
• Zoe Swartz
• Alexis Tannehill
• Catherine E Taylor, CPSS

• Local Education Agency (LEA) in Centreville, MI
• Providers in Centreville, MI by specialty
• Local Education Agency (LEA) in Michigan

• 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.