Eagle Ridge Academy

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

EAGLE RIDGE ACADEMY

Practice address

7255 Flying Cloud Drive
Eden Prairie, MN 55344

Phone

(952) 746-7760

NPI assigned

Dec 12, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Melissa Gail Udomah, MA

Title

Special Education Coordinator

Phone

(952) 746-7760

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1323648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323648000000",
    "number": "1831467331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7255 FLYING CLOUD DRIVE",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "55344",
            "telephone_number": "952-746-7760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7255 FLYING CLOUD DRIVE",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "55344",
            "telephone_number": "952-746-7760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE RIDGE ACADEMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-12",
        "last_updated": "2011-12-12",
        "status": "A",
        "authorized_official_last_name": "UDOMAH",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "GAIL",
        "authorized_official_title_or_position": "SPECIAL EDUCATION COORDINATOR",
        "authorized_official_telephone_number": "952-746-7760",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Candyace A Dunn, FNP-C
• Brittany Dunne Graft, CMT
• Christy Levell Dupree, LADC
• David Durand, M.D.
• Margaret Elizabeth Dvergsten-Kitzrow, CCC-SLP
• Katie Ann Eagle
• Ear Professionals International LLC
• Wade Rodney Eckhoff, D.C.
• Edan Oak LLC
• Kevin R Edelman, M.D.

• Local Education Agency (LEA) in Eden Prairie, MN
• Providers in Eden Prairie, 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 Dec 12, 2011; 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.