Fordyce School District

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

License

2002 Issued in AR

Legal business name

FORDYCE SCHOOL DISTRICT

Practice address

350 Redbug Cir
Fordyce, AR 71742-1815

Phone

(870) 352-2816

NPI assigned

Dec 18, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Pam Blake

Title

Superintendent

Phone

(870) 352-2816

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679636047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1022 SCOGIN DR",
            "city": "MONTICELLO",
            "state": "AR",
            "postal_code": "716559709",
            "telephone_number": "870-367-6848",
            "fax_number": "870-367-9877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 REDBUG CIR",
            "city": "FORDYCE",
            "state": "AR",
            "postal_code": "717421815",
            "telephone_number": "870-352-2816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORDYCE SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BLAKE",
        "authorized_official_first_name": "PAM",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "870-352-2816",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "AR",
            "license": "2002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ess of Fordyce LLC
• Adrienne Ezell, MHPP
• Family Eyecare Center Inc
• Fordyce Assisted Living Inc (Daltons Place at Fordyce)
• Fordyce Counseling Clinic, Inc.
• Keri Lynn Freer
• Rylee Garner, MHPP
• Sheena Garrard, LPC
• Erin Gehring
• Kreston Tyrell Gibbs

• Local Education Agency (LEA) in Fordyce, AR
• Providers in Fordyce, AR by specialty
• Local Education Agency (LEA) in Arkansas

• 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.