Summersville SD 79

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

SUMMERSVILLE SD 79

Practice address

1118 Fairfield Rd
Mount Vernon, IL 62864-5726

Phone

(618) 244-8079

NPI assigned

Mar 8, 2007

Organization subpart

No

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

Authorized official

Name

Robert Steven Danner

Title

Superintendent

Phone

(618) 244-8079

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Glenda Ann Raby, MS., CCC-SLP

  • Speech-Language Pathologist
  • Mount Vernon, IL
  • NPI 1154830032
  NPD (past)

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871624338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1118 FAIRFIELD RD",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628645726",
            "telephone_number": "618-244-8079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1118 FAIRFIELD RD",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628645726",
            "telephone_number": "618-244-8079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMERSVILLE SD 79",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DANNER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "618-244-8079"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marilyn Stombaugh, PA-C
• Rose Marie Straeter, IBCLC
• Laura Kay Stroud, C.O.T.A.
• Monique Stuckey, BA
• Keith Allen Suedmeyer, LCSW
• Surgical Associates of Mt Vernon, LTD
• Tammy Sweet
• Alexandrea Bree an Swinnen, PHARMD
• Madona Syxiengmay, P.T.
• T Clinic LLC

• Local Education Agency (LEA) in Mount Vernon, IL
• Providers in Mount Vernon, IL by specialty
• Local Education Agency (LEA) in Illinois

• 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.