NPIMap

Organization Active NPI

Innovation Academy Charter School

  • Local Education Agency (LEA)
  • Chelmsford, MA
National Provider Identifier
1629293931
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
License
1955845 Issued in MA
Legal business name
INNOVATION ACADEMY CHARTER SCHOOL
Practice address
40 Brick Kiln Road
Chelmsford, MA 01824
Phone
(978) 970-0100
Fax
(978) 970-3522
NPI assigned
Apr 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Colleen Sweetnam Leary, M.ED.
Title
Director of Student Services
Phone
(978) 970-0100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X 1955845 MA Primary

Addresses

Primary practice location

40 Brick Kiln Road
Chelmsford, MA 01824

Mailing address

40 Brick Kiln Road
Chelmsford, MA 01824
Phone (978) 970-0100

Other names 1

  • Murdoch Middle School at IACS Other name

National Provider Directory

National Provider Directory

Locations

40 Brick Kiln Rd
Chelmsford, MA 01824
Phone (978) 970-0100

NPI Registry JSON

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629293931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 BRICK KILN ROAD",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "01824",
            "telephone_number": "978-970-0100",
            "fax_number": "978-970-3522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 BRICK KILN ROAD",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "01824",
            "telephone_number": "978-970-0100",
            "fax_number": "978-970-3522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATION ACADEMY CHARTER SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEARY",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_middle_name": "SWEETNAM",
        "authorized_official_title_or_position": "DIRECTOR OF STUDENT SERVICES",
        "authorized_official_telephone_number": "978-970-0100",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.ED."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "MA",
            "license": "1955845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Murdoch Middle School at IACS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chelmsford, MA

Sources for this page

  • 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.