Juniper Tree Academy

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

JUNIPER TREE ACADEMY

Practice address

3777 W 16TH St
Yuma, AZ 85364-4502

Phone

(928) 314-1102

NPI assigned

May 22, 2017

Organization subpart

No

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

Authorized official

Name

Ryan Hackmann

Title

Chief Operations Officer

Phone

(928) 817-8060

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1495411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1495411200000",
    "number": "1851828883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6502",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853662522",
            "telephone_number": "928-817-8060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3777 W 16TH ST",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853644502",
            "telephone_number": "928-314-1102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUNIPER TREE ACADEMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-22",
        "last_updated": "2017-05-22",
        "status": "A",
        "authorized_official_last_name": "HACKMANN",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "CHIEF OPERATIONS OFFICER",
        "authorized_official_telephone_number": "928-817-8060"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holly D Jordan, OTR/L
• Mark Jordan, PHARM.D.
• Joseph D. Gallemore DDS & Associates P.C.
• Julie Dance PLLC
• Julio Zonis, MD PC
• Justin Church DMD PLC
• Justin Church DMD PLC
• Sidonie B Justynski
• K.a. Medical PLLC
• David Scott Kaba, M.D.

• Local Education Agency (LEA) in Yuma, AZ
• Providers in Yuma, AZ by specialty
• Local Education Agency (LEA) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2017; 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.