Grant Community School District 110

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

GRANT COMMUNITY SCHOOL DISTRICT 110

Practice address

10110 Old Lincoln TRL
Fairview Heights, IL 62208-2422

Phone

(618) 397-2764

Fax

(618) 398-5578

NPI assigned

May 3, 2007

Organization subpart

No

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

Authorized official

Name

Matt Stines

Title

Principal

Phone

(618) 397-2764

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Linda Gamboa, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Fairview Heights, IL
  • NPI 1326479015
  NPD (past)
• Caitlyn Patalas, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Fairview Heights, IL
  • NPI 1295567881
  NPD (past)

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649492133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10110 OLD LINCOLN TRL",
            "city": "FAIRVIEW HEIGHTS",
            "state": "IL",
            "postal_code": "622082422",
            "telephone_number": "618-397-2764",
            "fax_number": "618-398-5578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10110 OLD LINCOLN TRL",
            "city": "FAIRVIEW HEIGHTS",
            "state": "IL",
            "postal_code": "622082422",
            "telephone_number": "618-397-2764",
            "fax_number": "618-398-5578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANT COMMUNITY SCHOOL DISTRICT 110",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STINES",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "618-397-2764"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Glispie, PMHNP
• Golden Rule Counseling, PLLC
• Goldenberg & Associates
• Kasey Gooch, OT
• Theresa Goscinski
• Aliyah Green
• Jennifer Michelle Green, SLP
• Kimberly Hope Green
• Erin L Grumley, LPC
• Alex Christian Guebert, D.C.

• Local Education Agency (LEA) in Fairview Heights, IL
• Providers in Fairview Heights, IL by specialty
• Local Education Agency (LEA) in Illinois

• 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.