Prairie Creek Community School

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

PRAIRIE CREEK COMMUNITY SCHOOL

Practice address

27695 Denmark Ave
Northfield, MN 55057-5333

Phone

(507) 645-9640

NPI assigned

Oct 22, 2014

Last updated

Oct 22, 2014By 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

Mr. Simon Tyler

Title

Director

Phone

(507) 645-9640

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1413936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413936000000",
    "number": "1578968335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27695 DENMARK AVE",
            "city": "NORTHFIELD",
            "state": "MN",
            "postal_code": "550575333",
            "telephone_number": "507-645-9640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27695 DENMARK AVE",
            "city": "NORTHFIELD",
            "state": "MN",
            "postal_code": "550575333",
            "telephone_number": "507-645-9640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAIRIE CREEK COMMUNITY SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-22",
        "last_updated": "2014-10-22",
        "status": "A",
        "authorized_official_last_name": "TYLER",
        "authorized_official_first_name": "SIMON",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "507-645-9640",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Malory Peterson, DDS
• Glenn Raphael Pierskalla, RPH
• Carolyn Jean Poblocki, PT
• Justine Faye Politz, CNP
• Amanda Corey Porter, PSY.D
• Kari Prestemon, LICSW
• Adam Eric Price, PHARMD
• Teresa Ann Price
• Nathan Prissel, PT, DPT
• Professional Drive Dental Group P.a.

• Local Education Agency (LEA) in Northfield, MN
• Providers in Northfield, MN by specialty
• Local Education Agency (LEA) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2014; 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.