Four Peaks Elementary School

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

Legal business name

FOUR PEAKS ELEMENTARY SCHOOL

Practice address

1755 N Idaho Rd
Apache Junction, AZ 85219-1716

Phone

(480) 982-1110

NPI assigned

Apr 3, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Kimberly Pam Dickerson, L.P.N.

Title

School Nurse

Phone

(480) 982-1110

Specialties & licenses 1

Addresses

Tax ID family

Apache Junction Unified School District 434 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Apache Junction Unified School District #43

  • Psychologist
  • Apache Junction, AZ
  • NPI 1063693307
  NPD tax ID
• Apache Junction Unified School District #43

  • Psychologist
  • Apache Junction, AZ
  • NPI 1154502490
  NPD tax ID
• Apache Junction Unified School District #43

  • Point of Service
  • Apache Junction, AZ
  • NPI 1356484000
  NPD tax ID

Locations

Practitioners 1

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.

• Kyra Noelle Beardall, MS, CF-SLP

  • Speech-Language Pathologist
  • Chandler, AZ
  • NPI 1083595623
  NPD (past)

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740302728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4126 N COLT RD",
            "city": "APACHE JUNCTION",
            "state": "AZ",
            "postal_code": "852199643",
            "telephone_number": "480-516-9332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1755 N IDAHO RD",
            "city": "APACHE JUNCTION",
            "state": "AZ",
            "postal_code": "852191716",
            "telephone_number": "480-982-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUR PEAKS ELEMENTARY SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DICKERSON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "PAM",
        "authorized_official_title_or_position": "SCHOOL NURSE",
        "authorized_official_telephone_number": "480-982-1110",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "L.P.N."
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Foi Physical Therapy PLLC (For Our Independence PT)
• Alexander Ray Foote, D.C.
• Foothill Care Center, LLC (Apache Junction Health Center)
• Jann M Ford Petersen, NP
• Connie Forrester
• Four Peaks Therapy
• Fox World Medical Corporation
• Jordan Elisabeth Fox, OD
• Ryan Frederick, RPH
• Navarro Jamal Galloway

• Licensed Practical Nurse in Apache Junction, AZ
• Providers in Apache Junction, AZ by specialty
• Licensed Practical Nurse in Arizona

• 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.