Prodeo Academy

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

License

4213 Issued in MN

Legal business name

PRODEO ACADEMY

Practice address

1555 40TH Ave NE
Minneapolis, MN 55421-3103

Phone

(763) 205-9950

NPI assigned

Jan 30, 2014

Organization subpart

No

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

Authorized official

Name

Chancey Anderson

Title

Principal

Phone

(347) 982-5061

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1391040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391040000000",
    "number": "1790108512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 40TH AVE NE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554213103",
            "telephone_number": "763-205-9950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 40TH AVE NE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554213103",
            "telephone_number": "763-205-9950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRODEO ACADEMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-30",
        "last_updated": "2014-01-30",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "CHANCEY",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "347-982-5061"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "MN",
            "license": "4213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Proactive Healthcare Education Center
• Patrick James Prochaska, D.D.S.
• Nicole Prochnow, PTA
• Kristin Noel Procopio, MPT
• Shorhonda Proctor
• Prodigal House Inc.
• Professional Language Specialities
• Professional Pca Services LLC
• Program Solutions, LLC
• Progress Valley, Inc.

• Local Education Agency (LEA) in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Local Education Agency (LEA) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2014; 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.