NPIMap

Organization Active NPI

Providence Academy for Student Success

  • Local Education Agency (LEA)
  • Columbus, OH
National Provider Identifier
1710212352
Registry record updated Oct 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
PROVIDENCE ACADEMY FOR STUDENT SUCCESS
Practice address
4300 Kimberly Pkwy N
Columbus, OH 43232-8296
Phone
(614) 866-7277
Fax
(614) 866-8494
NPI assigned
Oct 15, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2009

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

Authorized official

Name
Mr. Isaac Donyale Simpson
Title
Superintendent
Phone
(614) 866-7277

Specialties & licenses 1

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

Addresses

Primary practice location

4300 Kimberly Pkwy N
Columbus, OH 43232-8296

Mailing address

4300 Kimberly Parkway
Columbus, OH 43232
Phone (614) 866-7277

National Provider Directory

National Provider Directory
Tax ID family
Providence Academy for Student Success2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1255564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255564800000",
    "number": "1710212352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 KIMBERLY PARKWAY",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43232",
            "telephone_number": "614-866-7277",
            "fax_number": "614-866-8494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 KIMBERLY PKWY N",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432328296",
            "telephone_number": "614-866-7277",
            "fax_number": "614-866-8494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENCE ACADEMY FOR STUDENT SUCCESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-15",
        "last_updated": "2009-10-15",
        "status": "A",
        "authorized_official_last_name": "SIMPSON",
        "authorized_official_first_name": "ISAAC",
        "authorized_official_middle_name": "DONYALE",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "614-866-7277",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.