Organization Active NPI

Times 2 Stem Academy

  • Local Education Agency (LEA)
  • Providence, RI
National Provider Identifier
1922621200
Registry record updated May 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
TIMES 2 STEM ACADEMY
Practice address
50 Fillmore St
Providence, RI 02908-3105
Phone
(401) 272-5094
NPI assigned
May 21, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2020

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

Authorized official

Name
Coleen Yaroshenko
Title
Billing Manager
Phone
(401) 345-0433

Specialties & licenses 1

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

Addresses

Primary practice location

50 Fillmore St
Providence, RI 02908-3105

Mailing address

45 Plymouth St
Cranston, RI 02920-1837
Phone (401) 345-0433

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Providence Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

50 Fillmore St
Providence, RI 02908
Phone (401) 272-5094

Practitioners & affiliated clinicians

Practitioners 1

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": "1590019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590019200000",
    "number": "1922621200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 PLYMOUTH ST",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029201837",
            "telephone_number": "401-345-0433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 FILLMORE ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029083105",
            "telephone_number": "401-272-5094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMES 2 STEM ACADEMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-21",
        "last_updated": "2020-05-21",
        "certification_date": "2020-05-21",
        "status": "A",
        "authorized_official_last_name": "YAROSHENKO",
        "authorized_official_first_name": "COLEEN",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "401-345-0433"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Providence",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "50 Fillmore St",
            "city": "Providence",
            "state": "RI",
            "country_code": "US",
            "postal_code": "029083105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.