North Boone Cusd 200

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

NORTH BOONE CUSD 200

Practice address

100 Ray St
Poplar Grove, IL 61065-8404

Phone

(815) 544-9851

NPI assigned

Feb 11, 2008

Organization subpart

No

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

Authorized official

Name

Sheri Smith

Title

Director

Phone

(815) 544-9851

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1202688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1891963013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 RAY ST",
            "city": "POPLAR GROVE",
            "state": "IL",
            "postal_code": "610658404",
            "telephone_number": "815-544-9851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 RAY ST",
            "city": "POPLAR GROVE",
            "state": "IL",
            "postal_code": "610658404",
            "telephone_number": "815-544-9851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH BOONE CUSD 200",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-11",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "SHERI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "815-544-9851"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Zane Maffei, M.S.
• Tracy Lynn Marcus, RBT
• Ashley Lynn Moritz, M.S., CCC-SLP/L
• McKenzie Neisius
• Kathleen Marie Newhouse, DPT
• North Boone Fire District 3
• Maegan O'Brien, MS CCC-SLP
• Bernard Edward O'Malley, MD
• Marykay Petges, RN
• Pioneer Center

• All providers in Poplar Grove, IL
• Local Education Agency (LEA) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.