Immanuel Lutheran Church

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

IMMANUEL LUTHERAN CHURCH

Doing business as

Immanuel Lutheran Day School

Practice address

500 Immanuel Rd Ste B
Pflugerville, TX 78660-8344

Phone

(512) 251-4929

NPI assigned

Sep 27, 2023

Last updated

Sep 27, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

IMMANUEL LUTHERAN CHURCHAs reported in NPPES

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

Authorized official

Name

Nichelle Johnson

Title

Office Administrator

Phone

(512) 451-4929

Specialties & licenses 1

Addresses

Other names 1

• Immanuel Lutheran Day School Doing business as

Part of

Immanuel Lutheran Church

Locations

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

{
    "created_epoch": "1695772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695772800000",
    "number": "1922887025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 IMMANUEL RD STE B",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786608344",
            "telephone_number": "512-251-4929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 IMMANUEL RD STE B",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786608344",
            "telephone_number": "512-251-4929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMMANUEL LUTHERAN CHURCH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "IMMANUEL LUTHERAN CHURCH",
        "enumeration_date": "2023-09-27",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "NICHELLE",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "512-451-4929"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Immanuel Lutheran Day School",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Local Education Agency (LEA) in Pflugerville, TX
• Providers in Pflugerville, TX by specialty
• Local Education Agency (LEA) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; 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.