Organization Active NPI

JT School Dist 1

  • Local Education Agency (LEA)
  • Waterford, WI
National Provider Identifier
1710166525
Registry record updated Aug 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
JT SCHOOL DIST 1
Practice address
819 W Main St
Waterford, WI 53185-4025
Phone
(262) 514-8200
Fax
(262) 514-8251
NPI assigned
Oct 29, 2007
Last updated
Aug 5, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2008

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

Authorized official

Name
Lori M Schuttenhelm
Title
Bookkeeper/Office Manager
Phone
(262) 514-8200

Specialties & licenses 1

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

Addresses

Primary practice location

819 W Main St
Waterford, WI 53185-4025

Mailing address

819 W Main St
Waterford, WI 53185-4025
Phone (262) 514-8200

Other identifiers 1

IdentifierTypeStateIssuer
44242900MedicaidWI

Other names 1

  • Waterford Graded School Other name

National Provider Directory

National Provider Directory

Locations

819 W Main St
Waterford, WI 53185
Phone (262) 514-8200

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1193616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217894400000",
    "number": "1710166525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 W MAIN ST",
            "city": "WATERFORD",
            "state": "WI",
            "postal_code": "531854025",
            "telephone_number": "262-514-8200",
            "fax_number": "262-514-8251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 W MAIN ST",
            "city": "WATERFORD",
            "state": "WI",
            "postal_code": "531854025",
            "telephone_number": "262-514-8200",
            "fax_number": "262-514-8251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JT SCHOOL DIST 1",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-29",
        "last_updated": "2008-08-05",
        "status": "A",
        "authorized_official_last_name": "SCHUTTENHELM",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BOOKKEEPER/OFFICE MANAGER",
        "authorized_official_telephone_number": "262-514-8200"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "44242900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Waterford Graded School",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Waterford, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2008; 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.