Martin Luther King, Jr. Charter School

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

MARTIN LUTHER KING, JR. CHARTER SCHOOL

Doing business as

Martin Luther King, Jr. Charter School

Practice address

174 Brush Hill Ave
West Springfield, MA 01089-1204

Phone

(413) 735-2237

Fax

(413) 735-2270

NPI assigned

Nov 8, 2012

Last updated

Nov 8, 2012By 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

Mr. Alan Katz

Title

Executive Director

Phone

(413) 214-7806

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Martin Luther King, Jr. Charter School Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Monesha Durant, LPN

  • Licensed Practical Nurse
  • Springfield, MA
  • NPI 1295513992
  NPD (past)

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

{
    "created_epoch": "1352332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352332800000",
    "number": "1679827968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 DORSET ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011082821",
            "telephone_number": "413-214-7806",
            "fax_number": "413-214-7838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 BRUSH HILL AVE",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "010891204",
            "telephone_number": "413-735-2237",
            "fax_number": "413-735-2270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN LUTHER KING, JR. CHARTER SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-08",
        "last_updated": "2012-11-08",
        "status": "A",
        "authorized_official_last_name": "KATZ",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "413-214-7806",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1951297",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Martin Luther King, Jr. Charter School",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Steven P Marcus, LCSW
• Penina Njeri Marenge, NP-C
• Jessica C Marquez, MSW
• Leslie Jael Marshall, FNP-C
• Topanga S Marshall
• Catherine E Martin
• Heather Martin, BCBA
• Thomas Martin
• Anna Lee Martinez, BSW, CHW
• Steven Martinez

• Local Education Agency (LEA) in West Springfield, MA
• Providers in West Springfield, MA by specialty
• Local Education Agency (LEA) in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2012; 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.