Education 1St Academy LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

EDUCATION 1ST ACADEMY LLC

Practice address

1219 Rockingham Rd
Ste 6
Rockingham, NC 28379-4983

Phone

(704) 695-2380

Fax

(704) 983-0681

NPI assigned

Sep 15, 2009

Last updated

Sep 15, 2009By 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

Fashenda Little

Title

Operations Manager

Phone

(704) 695-2380

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1252972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252972800000",
    "number": "1629301122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1219 ROCKINGHAM RD",
            "address_2": "STE 6",
            "city": "ROCKINGHAM",
            "state": "NC",
            "postal_code": "283794983",
            "telephone_number": "704-695-2380",
            "fax_number": "704-983-0681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1219 ROCKINGHAM RD",
            "address_2": "STE 6",
            "city": "ROCKINGHAM",
            "state": "NC",
            "postal_code": "283794983",
            "telephone_number": "704-695-2380",
            "fax_number": "704-983-0681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDUCATION 1ST ACADEMY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-15",
        "last_updated": "2009-09-15",
        "status": "A",
        "authorized_official_last_name": "LITTLE",
        "authorized_official_first_name": "FASHENDA",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "704-695-2380"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2009; 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.