Bonneville Academy

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

BONNEVILLE ACADEMY

Practice address

800 W Montauk LN
Stansbury Park, UT 84074-3385

Phone

(435) 315-2080

NPI assigned

Jul 17, 2019

Organization subpart

No

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

Authorized official

Name

Laurel Marden

Title

Operations Manager

Phone

(435) 315-2080

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1563321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563321600000",
    "number": "1861045189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 W MONTAUK LN",
            "city": "STANSBURY PARK",
            "state": "UT",
            "postal_code": "840743385",
            "telephone_number": "435-315-2080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W MONTAUK LN",
            "city": "STANSBURY PARK",
            "state": "UT",
            "postal_code": "840743385",
            "telephone_number": "435-315-2080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONNEVILLE ACADEMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-17",
        "last_updated": "2019-07-17",
        "status": "A",
        "authorized_official_last_name": "MARDEN",
        "authorized_official_first_name": "LAUREL",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "435-315-2080"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "laurel.marden@bonnevilleacademy.org",
            "affiliation": "N",
            "address_1": "800 W Montauk Ln",
            "city": "Stansbury Park",
            "state": "UT",
            "country_code": "US",
            "postal_code": "840743385",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• All providers in Stansbury Park, UT
• Local Education Agency (LEA) in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2019; 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.