Organization Active NPI

Supt of Wonderview Consolidated Schools

  • Local Education Agency (LEA)
  • Hattieville, AR
National Provider Identifier
1730247388
Registry record updated Jun 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
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

Updated by the provider on Jun 30, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
148625742MedicaidAR

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.