NPIMap

Organization Active NPI

School District of Kettle Moraine

  • Local Education Agency (LEA)
  • Wales, WI
National Provider Identifier
1790964674
Registry record updated Oct 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
SCHOOL DISTRICT OF KETTLE MORAINE
Practice address
563 A J Allen Cir
Wales, WI 53183-9649
Phone
(262) 968-6300
Fax
(262) 968-6390
NPI assigned
Oct 29, 2007
Last updated
Oct 29, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2007

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

Authorized official

Name
Dr. Betty Womack, ED.D.
Title
Asst Supt of Pupil Services
Phone
(262) 968-6300

Specialties & licenses 1

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

Addresses

Primary practice location

563 A J Allen Cir
Wales, WI 53183-9649

Mailing address

563 A J Allen Cir
Wales, WI 53183-9649
Phone (262) 968-6300

Other identifiers 1

IdentifierTypeStateIssuer
44200200MedicaidWI

Other names 1

  • Kettle Moraine School District Other name

National Provider Directory

National Provider Directory

Locations

563 A J Allen Cir
Wales, WI 53183
Phone (262) 965-9500

Practitioners & affiliated clinicians

Practitioners 9

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": "1193616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193616000000",
    "number": "1790964674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "563 A J ALLEN CIR",
            "city": "WALES",
            "state": "WI",
            "postal_code": "531839649",
            "telephone_number": "262-968-6300",
            "fax_number": "262-968-6390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "563 A J ALLEN CIR",
            "city": "WALES",
            "state": "WI",
            "postal_code": "531839649",
            "telephone_number": "262-968-6300",
            "fax_number": "262-968-6390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHOOL DISTRICT OF KETTLE MORAINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-29",
        "last_updated": "2007-10-29",
        "status": "A",
        "authorized_official_last_name": "WOMACK",
        "authorized_official_first_name": "BETTY",
        "authorized_official_title_or_position": "ASST SUPT OF PUPIL SERVICES",
        "authorized_official_telephone_number": "262-968-6300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ED.D."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "44200200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kettle Moraine School District",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Wales, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2007; 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.