Linn County R 1 Public Schools

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

LINN COUNTY R 1 PUBLIC SCHOOLS

Practice address

15533 Hwy KK
Purdin, MO 64674-0130

Phone

(660) 244-5035

Fax

(660) 244-5025

NPI assigned

Apr 19, 2007

Organization subpart

No

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

Authorized official

Name

Nicole Head

Title

Director of Special Services

Phone

(660) 244-5035

Specialties & licenses 4

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Arieal Wilkerson

  • Speech-Language Assistant
  • Purdin, MO
  • NPI 1417721952
  NPD (past)

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305504000000",
    "number": "1649497652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 130",
            "address_2": "15533 HWY KK",
            "city": "PURDIN",
            "state": "MO",
            "postal_code": "646740130",
            "telephone_number": "660-244-5035",
            "fax_number": "660-244-5025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15533 HWY KK",
            "city": "PURDIN",
            "state": "MO",
            "postal_code": "646740130",
            "telephone_number": "660-244-5035",
            "fax_number": "660-244-5025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINN COUNTY R 1 PUBLIC SCHOOLS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2011-05-16",
        "status": "A",
        "authorized_official_last_name": "HEAD",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "DIRECTOR OF SPECIAL SERVICES",
        "authorized_official_telephone_number": "660-244-5035"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "506077502",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Arieal Wilkerson

• All providers in Purdin, MO
• Local Education Agency (LEA) in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2011; 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.