NPIMap

Organization Active NPI

Ofallon CCSD 90

  • Local Education Agency (LEA)
  • O'Fallon, IL
National Provider Identifier
1922133412
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
OFALLON CCSD 90
Practice address
707 N Smiley St
O Fallon, IL 62269-1353
Phone
(618) 632-3666
Fax
(618) 632-7864
NPI assigned
Feb 23, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Nancy Gibson, PH.D
Title
Superintendent
Phone
(618) 632-3666

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X Primary

Addresses

Primary practice location

707 N Smiley St
O Fallon, IL 62269-1353

Mailing address

707 N Smiley St
O Fallon, IL 62269-1353
Phone (618) 632-3666

National Provider Directory

National Provider Directory

Locations

118 E Washington St
O Fallon, IL 62269
Phone (618) 632-3666

707 N Smiley St
O Fallon, IL 62269
Phone (618) 632-3666

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922133412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 N SMILEY ST",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622691353",
            "telephone_number": "618-632-3666",
            "fax_number": "618-632-7864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 N SMILEY ST",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622691353",
            "telephone_number": "618-632-3666",
            "fax_number": "618-632-7864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OFALLON CCSD 90",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "618-632-3666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in O'Fallon, IL

Sources for this page

  • 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.