Active NPI
Supt of Wonderview Consolidated Schools
- Local Education Agency (LEA)
- Hattieville, AR
National Provider Identifier
1730247388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Local Education Agency (LEA)
- Legal business name
- SUPT OF WONDERVIEW CONSOLIDATED SCHOOLS
- Practice address
- 2436 Highway 95
Hattieville, AR 72063-8929 - Phone
- (501) 354-0211
- Fax
- (501) 354-6071
- NPI assigned
- Dec 5, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Brenda Tyler
- Title
- Superintendent
- Phone
- (501) 354-0211
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Local Education Agency (LEA) | 251300000X | Primary |
Addresses
Primary practice location
2436 Highway 95
Hattieville, AR 72063-8929
Mailing address
2436 Highway 95
Hattieville, AR 72063-8929
Phone (501) 354-0211
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 148625742 | Medicaid | AR |
National Provider Directory
National Provider DirectoryLocations
2436 Highway 95
Hattieville, AR 72063
Phone (501) 354-0211
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214784000000",
"number": "1730247388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2436 HIGHWAY 95",
"city": "HATTIEVILLE",
"state": "AR",
"postal_code": "720638929",
"telephone_number": "501-354-0211",
"fax_number": "501-354-6071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2436 HIGHWAY 95",
"city": "HATTIEVILLE",
"state": "AR",
"postal_code": "720638929",
"telephone_number": "501-354-0211",
"fax_number": "501-354-6071"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUPT OF WONDERVIEW CONSOLIDATED SCHOOLS",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-05",
"last_updated": "2008-06-30",
"status": "A",
"authorized_official_last_name": "TYLER",
"authorized_official_first_name": "BRENDA",
"authorized_official_title_or_position": "SUPERINTENDENT",
"authorized_official_telephone_number": "501-354-0211",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251300000X",
"taxonomy_group": "",
"desc": "Local Education Agency (LEA)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "148625742",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hattieville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.