Rural Champaign Co SPC Ed Coop

Primary specialty

Student Health Clinic/CenterTaxonomy code 261QS1000X

Legal business name

RURAL CHAMPAIGN CO SPC ED COOP

Practice address

807 N Mattis
Champaign, IL 61821-2448

Phone

(217) 892-8877

Fax

(217) 893-8627

NPI assigned

Mar 12, 2007

Organization subpart

No

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

Authorized official

Name

Jennifer Armstrong

Title

Director

Phone

(217) 892-8877

Specialties & licenses 2

Addresses

Locations

Practitioners 4

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

• Robin Michelle Fierer-Wilson, EDS

  • School Psychologist
  • Champaign, IL
  • NPI 1942712369
  NPD (past)
• Amanda Seets, SSP, NCSP

  • School Psychologist
  • Champaign, IL
  • NPI 1174032080
  NPD (past)
• Allison Whitney, SSP, NCSP

  • School Psychologist
  • Tolono, IL
  • NPI 1538678453
  NPD (past)
• Jordan Kent Wiles, SSP, NCSP

  • School Psychologist
  • Champaign, IL
  • NPI 1770095119
  NPD (past)

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481673600000",
    "number": "1598897993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 N MATTIS",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618212448",
            "telephone_number": "217-892-8877",
            "fax_number": "217-893-8627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 N MATTIS",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618212448",
            "telephone_number": "217-892-8877",
            "fax_number": "217-893-8627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RURAL CHAMPAIGN CO SPC ED COOP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2016-12-14",
        "status": "A",
        "authorized_official_last_name": "ARMSTRONG",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "217-892-8877"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rafael Miguel Ruggieri, M.D.
• Kathleen G. Ruhter, P.T.
• Sarah Rumbley
• Kathryn Rumer
• Brooke Runge
• Tiffany Ann Rushing, APN, FNP-BC, PMHNP
• Ann Carol Russell, LCSW
• Gail L Russell
• Ronald C Russo, MD
• Kyle Ryan, PH.D.

• Student Health Clinic/Center in Champaign, IL
• Providers in Champaign, IL by specialty
• Student Health Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2016; 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.