Organization Active NPI

Enterprise Elementary School District

  • Local Education Agency (LEA)
  • Redding, CA
National Provider Identifier
1730966623
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
ENTERPRISE ELEMENTARY SCHOOL DISTRICT
Doing business as
Enterprise Elementary School District
Practice address
1155 Mistletoe LN
Redding, CA 96002-0749
Phone
(530) 224-4226
Fax
(530) 224-4101
NPI assigned
Sep 13, 2023
Last updated
May 20, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2024

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

Authorized official

Name
Kelly Pagan, RN, MSNNPI 1558952358
Title
District Nurse
Phone
(530) 224-4226

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1155 Mistletoe LN
Redding, CA 96002-0749

Mailing address

1155 Mistletoe LN
Redding, CA 96002-0749
Phone (530) 224-4226

Other identifiers 1

IdentifierTypeStateIssuer
1558952358MedicaidCA

Other names 1

  • Enterprise Elementary School District Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1694563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716163200000",
    "number": "1730966623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 MISTLETOE LN",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960020749",
            "telephone_number": "530-224-4226",
            "fax_number": "530-224-4101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 MISTLETOE LN",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960020749",
            "telephone_number": "530-224-4226",
            "fax_number": "530-224-4101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENTERPRISE ELEMENTARY SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-13",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A",
        "authorized_official_last_name": "PAGAN",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "DISTRICT NURSE",
        "authorized_official_telephone_number": "530-224-4226",
        "authorized_official_credential": "RN, MSN"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1558952358",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Enterprise Elementary School District",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Redding, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; 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.