Excellerated Teaching Academy

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

EXCELLERATED TEACHING ACADEMY

Practice address

5175 45TH St N # 4
St Petersburg, FL 33714-2266

Phone

(727) 748-4060

Fax

(727) 748-4060

NPI assigned

Aug 16, 2022

Organization subpart

No

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

Authorized official

Name

Robert Hasbrouck

Title

Vice-President

Phone

(727) 748-4060

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1660608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660608000000",
    "number": "1770201790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5175 45TH ST N # 4",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337142266",
            "telephone_number": "727-748-4060",
            "fax_number": "727-748-4060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5175 45TH ST N # 4",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337142266",
            "telephone_number": "727-748-4060",
            "fax_number": "727-748-4060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCELLERATED TEACHING ACADEMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-16",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A",
        "authorized_official_last_name": "HASBROUCK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "727-748-4060"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Local Education Agency (LEA) in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Local Education Agency (LEA) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2022; 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.