Robert Benjamin Wiley Community Charter School

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

ROBERT BENJAMIN WILEY COMMUNITY CHARTER SCHOOL

Practice address

1446 E Lake Rd
Erie, PA 16507-1936

Phone

(814) 461-9600

Fax

(814) 461-1405

NPI assigned

Mar 6, 2009

Organization subpart

No

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

Authorized official

Name

Kathryn Olds

Title

Cao/Principal

Phone

(814) 461-9600

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1236297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236297600000",
    "number": "1669612461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1446 E LAKE RD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165071936",
            "telephone_number": "814-461-9600",
            "fax_number": "814-461-1405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1446 E LAKE RD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165071936",
            "telephone_number": "814-461-9600",
            "fax_number": "814-461-1405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT BENJAMIN WILEY COMMUNITY CHARTER SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-06",
        "last_updated": "2009-03-06",
        "status": "A",
        "authorized_official_last_name": "OLDS",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_title_or_position": "CAO/PRINCIPAL",
        "authorized_official_telephone_number": "814-461-9600"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1019074560001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Amanda Roberts, DPT
• Daniel J. Roberts, D.M.D.
• Elizabeth Eileen Roberts, OD
• Kelly Roberts, LCSW

• Local Education Agency (LEA) in Erie, PA
• Providers in Erie, PA by specialty
• Local Education Agency (LEA) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.