Waterloo CSD

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

WATERLOO CSD

Practice address

109 Washington St
Waterloo, NY 13165-1835

Phone

(315) 539-1510

Fax

(315) 539-1599

NPI assigned

Jan 3, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Patricia S Johnson

Title

Sba

Phone

(315) 539-1510

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679630909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 WASHINGTON ST",
            "city": "WATERLOO",
            "state": "NY",
            "postal_code": "131651835",
            "telephone_number": "315-539-1510",
            "fax_number": "315-539-1599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 WASHINGTON ST",
            "city": "WATERLOO",
            "state": "NY",
            "postal_code": "131651835",
            "telephone_number": "315-539-1510",
            "fax_number": "315-539-1599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERLOO CSD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "SBA",
        "authorized_official_telephone_number": "315-539-1510",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01383384",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kara Marie Walawender, LMSW
• Josephine D Wales, BS
• Walgreen Co
• Lyndsay Ward, LCSW
• Waterloo Chiropractic PLLC
• Waterloo Ophthalmic Dispensing, PC
• Stephanie Lynn Watts
• Lori K Webb, MSE, LMHC
• Susanne Webster, LCSW
• Jennifer Vivian Welch, RN

• Local Education Agency (LEA) in Waterloo, NY
• Providers in Waterloo, NY by specialty
• Local Education Agency (LEA) in New York

• 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.