Organization Active NPI

Outlook Academy Sda

  • Local Education Agency (LEA)
  • Allegan, MI
National Provider Identifier
1669199915
Registry record updated Oct 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
OUTLOOK ACADEMY SDA
Practice address
2879 116TH Ave
Allegan, MI 49010-9004
Phone
(269) 512-7791
NPI assigned
Oct 26, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2022

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

Authorized official

Name
Aubrey Klamer
Title
Business Services Coordinator
Phone
(269) 512-7791

Specialties & licenses 1

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

Addresses

Primary practice location

2879 116TH Ave
Allegan, MI 49010-9004

Mailing address

310 Thomas St
Allegan, MI 49010-9158
Phone (269) 512-7791

National Provider Directory

National Provider Directory

Locations

2879 116th Ave
Allegan, MI 49010
Phone (269) 512-7791

NPI Registry JSON

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

{
    "created_epoch": "1666742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666742400000",
    "number": "1669199915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 THOMAS ST",
            "city": "ALLEGAN",
            "state": "MI",
            "postal_code": "490109158",
            "telephone_number": "269-512-7791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2879 116TH AVE",
            "city": "ALLEGAN",
            "state": "MI",
            "postal_code": "490109004",
            "telephone_number": "269-512-7791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUTLOOK ACADEMY SDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-26",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A",
        "authorized_official_last_name": "KLAMER",
        "authorized_official_first_name": "AUBREY",
        "authorized_official_title_or_position": "BUSINESS SERVICES COORDINATOR",
        "authorized_official_telephone_number": "269-512-7791"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allegan, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; 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.