NPIMap

Organization Active NPI

Spectrum Academy

  • Local Education Agency (LEA)
  • North Salt Lake, UT
National Provider Identifier
1922490689
Registry record updated Mar 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
SPECTRUM ACADEMY
Practice address
665 Cutler Dr
North Salt Lake, UT 84054-2970
Phone
(801) 936-0318
Fax
(801) 936-0209
NPI assigned
Mar 4, 2015
Organization subpart
Yes
Parent organization
SPECTRUM ACADEMYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 4, 2015

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

Authorized official

Name
Bradley H Nelson
Title
C.F.O.
Phone
(801) 936-0318

Specialties & licenses 1

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

Addresses

Primary practice location

665 Cutler Dr
North Salt Lake, UT 84054-2970

Mailing address

575 Cutler Dr
North Salt Lake, UT 84054-2953
Phone (801) 936-0318

National Provider Directory

National Provider Directory
Tax ID family
Spectrum Academy3 organizations share this tax ID, including this one
Part of
Spectrum Academy

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

665 Cutler Dr
North Salt Lake, UT 84054
Phone (801) 936-0138

575 Cutler Dr
North Salt Lake, UT 84054
Phone (801) 936-0318

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1425427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425427200000",
    "number": "1922490689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 CUTLER DR",
            "city": "NORTH SALT LAKE",
            "state": "UT",
            "postal_code": "840542953",
            "telephone_number": "801-936-0318",
            "fax_number": "801-936-0209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "665 CUTLER DR",
            "city": "NORTH SALT LAKE",
            "state": "UT",
            "postal_code": "840542970",
            "telephone_number": "801-936-0318",
            "fax_number": "801-936-0209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM ACADEMY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SPECTRUM ACADEMY",
        "enumeration_date": "2015-03-04",
        "last_updated": "2015-03-04",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "C.F.O.",
        "authorized_official_telephone_number": "801-936-0318"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Salt Lake, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2015; 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.