Roosevelt Elementary School District #66

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

554841 Issued in AZ

Legal business name

ROOSEVELT ELEMENTARY SCHOOL DISTRICT #66

Practice address

6218 S 7TH St
Phoenix, AZ 85042-4211

Phone

(602) 243-4866

Fax

(602) 304-3132

NPI assigned

Mar 29, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Theresa W Hale

Title

Medicaid Coordinator

Phone

(602) 304-3117

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Roosevelt Elementary School District 662 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Roosevelt School District

  • Speech-Language Assistant
  • Phoenix, AZ
  • NPI 1588958151
  NPD tax ID

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982724480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6218 S 7TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850424211",
            "telephone_number": "602-243-4866",
            "fax_number": "602-304-3132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6218 S 7TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850424211",
            "telephone_number": "602-243-4866",
            "fax_number": "602-304-3132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOSEVELT ELEMENTARY SCHOOL DISTRICT #66",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HALE",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "MEDICAID COORDINATOR",
        "authorized_official_telephone_number": "602-304-3117",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "AZ",
            "license": "554841",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "554841",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sherri Lynn Roop, RN
• Robyn Lisa Roope, PMHNP-BC
• Melissa Ann Rooper, B.S.
• Nancy J Roos-Mendez, DDS
• Alan Roosen
• Roosevelt School Dist. 6218 S.7TH Street
• Roosevelt School District
• Roosevelt School District
• Rooseveltschooldistrict
• Rooted Alma, LLC

• Student in an Organized Health Care Education/Training Program in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Student in an Organized Health Care Education/Training Program in Arizona

• 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.