Organization Active NPI

Iredell-Statesville Schools

  • Local Education Agency (LEA)
  • Statesville, NC
National Provider Identifier
1720009988
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
IREDELL-STATESVILLE SCHOOLS
Practice address
410 Garfield St
Statesville, NC 28677-6142
Phone
(704) 872-3158
NPI assigned
Jul 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Elizabeth J. Phillips
Title
Director of Exc Children Services
Phone
(704) 873-9432

Specialties & licenses 1

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

Addresses

Primary practice location

410 Garfield St
Statesville, NC 28677-6142

Mailing address

100 Europa Dr Ste 290
Chapel Hill, NC 27517-2310
Phone (919) 942-9448

Other identifiers 1

IdentifierTypeStateIssuer
8600030MedicaidNC

National Provider Directory

National Provider Directory

Locations

410 Garfield St
Statesville, NC 28677
Phone (704) 622-7004

NPI Registry JSON

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720009988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 EUROPA DR STE 290",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275172310",
            "telephone_number": "919-942-9448",
            "fax_number": "919-942-7213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 GARFIELD ST",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286776142",
            "telephone_number": "704-872-3158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IREDELL-STATESVILLE SCHOOLS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "DIRECTOR OF EXC CHILDREN SERVICES",
        "authorized_official_telephone_number": "704-873-9432",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8600030",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Statesville, NC

Sources for this page

  • 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.