Organization Active NPI

Star of the North Academy

  • Local Education Agency (LEA)
  • East Bethel, MN
National Provider Identifier
1790213387
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
STAR OF THE NORTH ACADEMY
Practice address
1562 Viking Blvd NE
East Bethel, MN 55011-9402
Phone
(763) 450-5561
NPI assigned
May 26, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Luli Axhijaj
Title
Executive Director
Phone
(763) 450-5561

Specialties & licenses 1

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

Addresses

Primary practice location

1562 Viking Blvd NE
East Bethel, MN 55011-9402

Mailing address

1562 Viking Blvd NE
East Bethel, MN 55011-9402
Phone (763) 450-5561

National Provider Directory

National Provider Directory

Locations

1562 Viking Blvd NE
East Bethel, MN 55011
Phone (763) 450-5561

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1495756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1790213387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1562 VIKING BLVD NE",
            "city": "EAST BETHEL",
            "state": "MN",
            "postal_code": "550119402",
            "telephone_number": "763-450-5561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1562 VIKING BLVD NE",
            "city": "EAST BETHEL",
            "state": "MN",
            "postal_code": "550119402",
            "telephone_number": "763-450-5561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR OF THE NORTH ACADEMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-26",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "AXHIJAJ",
        "authorized_official_first_name": "LULI",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "763-450-5561"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Bethel, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.