Shawano-Gresham School District

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

SHAWANO-GRESHAM SCHOOL DISTRICT

Practice address

1050 South Union Street
Shawano, WI 54166

Phone

(715) 526-2192

Fax

(715) 524-7016

NPI assigned

May 2, 2007

Last updated

Aug 22, 2020By 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. Dave Cullen

Title

Director of Pupil Services

Phone

(715) 526-2192

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649491820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 SOUTH UNION STREET",
            "city": "SHAWANO",
            "state": "WI",
            "postal_code": "54166",
            "telephone_number": "715-526-2192",
            "fax_number": "715-524-7016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 SOUTH UNION STREET",
            "city": "SHAWANO",
            "state": "WI",
            "postal_code": "54166",
            "telephone_number": "715-526-2192",
            "fax_number": "715-524-7016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAWANO-GRESHAM SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CULLEN",
        "authorized_official_first_name": "DAVE",
        "authorized_official_title_or_position": "DIRECTOR OF PUPIL SERVICES",
        "authorized_official_telephone_number": "715-526-2192",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "44206000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shawano County Department of Human Services
• Shawano County Dept. of Social Services
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• Shawano Place
• Kevin Daniel Sheier, MS, LPC
• Heather Beverly Sheski
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• Shoptikal LLC (Shopko Optical 4304)
• Cassandra Loretta Silveyra, NP

• Local Education Agency (LEA) in Shawano, WI
• Providers in Shawano, WI by specialty
• Local Education Agency (LEA) in Wisconsin

• 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.