Organization Active NPI

Wings Academy

  • Local Education Agency (LEA)
  • Milwaukee, WI
National Provider Identifier
1730417049
Registry record updated Nov 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
License
046013 Issued in WI
Legal business name
WINGS ACADEMY
Practice address
1501 S Layton Blvd
Milwaukee, WI 53215-1924
Phone
(414) 431-1356
Fax
(414) 431-1358
NPI assigned
Nov 24, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2009

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

Authorized official

Name
Mrs. Sara Van Deurzen
Title
Special Education Coordinator
Phone
(414) 755-3248

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X 046013 WI Primary

Addresses

Primary practice location

1501 S Layton Blvd
Milwaukee, WI 53215-1924

Mailing address

1501 S Layton Blvd
Milwaukee, WI 53215-1924
Phone (414) 431-1356

Other identifiers 1

IdentifierTypeStateIssuer
6247MedicaidWI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1259020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259020800000",
    "number": "1730417049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 S LAYTON BLVD",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532151924",
            "telephone_number": "414-431-1356",
            "fax_number": "414-431-1358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 S LAYTON BLVD",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532151924",
            "telephone_number": "414-431-1356",
            "fax_number": "414-431-1358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINGS ACADEMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-24",
        "last_updated": "2009-11-24",
        "status": "A",
        "authorized_official_last_name": "VAN DEURZEN",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "SPECIAL EDUCATION COORDINATOR",
        "authorized_official_telephone_number": "414-755-3248",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "WI",
            "license": "046013",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6247",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 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.