Sivells Bend Independent School District

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

License

049909 Issued in TX

Legal business name

SIVELLS BEND INDEPENDENT SCHOOL DISTRICT

Practice address

1053 County Road 403
Gainesville, TX 76240-0328

Phone

(940) 665-6411

Fax

(940) 668-7361

NPI assigned

Sep 2, 2011

Last updated

Sep 2, 2011By 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

Todd Levesque

Title

Medicaid Enrollment Specialist

Phone

(208) 922-9300

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1314921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314921600000",
    "number": "1710268719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1305",
            "city": "GAINESVILLE",
            "state": "TX",
            "postal_code": "762411305",
            "telephone_number": "940-665-6411",
            "fax_number": "940-668-7361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1053 COUNTY ROAD 403",
            "city": "GAINESVILLE",
            "state": "TX",
            "postal_code": "762400328",
            "telephone_number": "940-665-6411",
            "fax_number": "940-668-7361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIVELLS BEND INDEPENDENT SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-02",
        "last_updated": "2011-09-02",
        "status": "A",
        "authorized_official_last_name": "LEVESQUE",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "MEDICAID ENROLLMENT SPECIALIST",
        "authorized_official_telephone_number": "208-922-9300"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "TX",
            "license": "049909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Elizabeth Shelton
• Alan T Sheppard, CPO
• Sherman Heart Group
• Albert M Sholakh, MD
• Austin Huntington Sides, FNP
• Marsha Rachelle Smith, MA, LPC
• S. Craig Smith, O.D.
• Stuart Lloyd Smith, NP
• Brooke Sorenson
• Ermias Sori

• Local Education Agency (LEA) in Gainesville, TX
• Providers in Gainesville, TX by specialty
• Local Education Agency (LEA) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2011; 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.