The Raven School Gulf Coast Trade Center

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

THE RAVEN SCHOOL GULF COAST TRADE CENTER

Practice address

143 Forest Service Road 233
New Waverly, TX 77358-3945

Phone

(936) 344-7851

NPI assigned

Feb 12, 2007

Organization subpart

No

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

Authorized official

Name

Diane Wood

Title

Assistant Finance Director

Phone

(936) 344-7851

Specialties & licenses 1

Addresses

Practitioners 1

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

• Lewanda Martin, LVN

  • Licensed Vocational Nurse
  • New Waverly, TX
  • NPI 1952061566
  NPD (past)

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851432686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 FOREST SERVICE ROAD 233",
            "city": "NEW WAVERLY",
            "state": "TX",
            "postal_code": "773583945",
            "telephone_number": "936-344-7851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 FOREST SERVICE ROAD 233",
            "city": "NEW WAVERLY",
            "state": "TX",
            "postal_code": "773583945",
            "telephone_number": "936-344-7851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE RAVEN SCHOOL GULF COAST TRADE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "ASSISTANT FINANCE DIRECTOR",
        "authorized_official_telephone_number": "936-344-7851"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• New Waverly Wellness Clinic
• Kathryn Claire Ryan, ATC, LAT
• Ryzolve LLC
• Jesse Schneringer, D.C.
• Sugarfruit Properties, LLC
• Waverly Primary Care, PLLC
• Janis A Wells, PT
• Phillip Wayne Wells, PT
• Cayla J Wheaton
• Your New Waverly Pharmacy LLC

• Local Education Agency (LEA) in New Waverly, TX
• Providers in New Waverly, TX by specialty
• Local Education Agency (LEA) in Texas

• 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.