Bluff Dale Independent School District

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

BLUFF DALE INDEPENDENT SCHOOL DISTRICT

Practice address

710 Church Street
Bluff Dale, TX 76433

Phone

(254) 728-3277

Fax

(254) 728-3298

NPI assigned

Aug 28, 2016

Last updated

Aug 28, 2016By 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

Ms. Ellen Blair

Title

Director of Special Education

Phone

(254) 898-3906

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1472342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472342400000",
    "number": "1619423837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2129",
            "city": "GLEN ROSE",
            "state": "TX",
            "postal_code": "760432129",
            "telephone_number": "254-898-3906",
            "fax_number": "254-897-7040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 CHURCH STREET",
            "city": "BLUFF DALE",
            "state": "TX",
            "postal_code": "76433",
            "telephone_number": "254-728-3277",
            "fax_number": "254-728-3298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUFF DALE INDEPENDENT SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-28",
        "last_updated": "2016-08-28",
        "status": "A",
        "authorized_official_last_name": "BLAIR",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_title_or_position": "DIRECTOR OF SPECIAL EDUCATION",
        "authorized_official_telephone_number": "254-898-3906",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Campbell, CCC-SLP, BCBA
• Cary Byron Clark, MD
• Jennifer Jean Donwerth, ANP-BC, GNP-BC
• Brooke Harris, LPC
• Nicole Jenkins, OTR

• Local Education Agency (LEA) in Bluff Dale, TX
• Providers in Bluff Dale, 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 Aug 28, 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.