Organization Active NPI

Bluesky Charter School

  • Local Education Agency (LEA)
  • Saint Paul, MN
National Provider Identifier
1790980308
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
License
MNLICSW3168 Issued in MN
Legal business name
BLUESKY CHARTER SCHOOL
Practice address
33 Wentworth Ave E Ste 300
Saint Paul, MN 55118-3405
Phone
(651) 642-0888
Fax
(651) 642-0435
NPI assigned
Jun 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Christian Kerno, LICSW
Title
Director of Student Services
Phone
(651) 642-0888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X MNLICSW3168 MN Primary

Addresses

Primary practice location

33 Wentworth Ave E Ste 300
Saint Paul, MN 55118-3405

Mailing address

33 Wentworth Ave E Ste 300
Saint Paul, MN 55118-3405
Phone (651) 642-0888

Other identifiers 1

IdentifierTypeStateIssuer
MNLICSW3168OtherMNLICENSED SOCIAL WORKER

National Provider Directory

National Provider Directory
Tax ID family
Bluesky Charter School2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

33 Wentworth Ave E
Ste 300
Saint Paul, MN 55118
Phone (651) 642-0888

NPI Registry JSON

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

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790980308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 WENTWORTH AVE E STE 300",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551183405",
            "telephone_number": "651-642-0888",
            "fax_number": "651-642-0435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 WENTWORTH AVE E STE 300",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551183405",
            "telephone_number": "651-642-0888",
            "fax_number": "651-642-0435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUESKY CHARTER SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KERNO",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_title_or_position": "DIRECTOR OF STUDENT SERVICES",
        "authorized_official_telephone_number": "651-642-0888",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "MN",
            "license": "MNLICSW3168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED SOCIAL WORKER",
            "identifier": "MNLICSW3168",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • 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.