PHOENIX ACADEMY OF ART AND SCIENCE (NPI# 1396210761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396210761 |
| Entity Type | Organization |
| Organization Name | PHOENIX ACADEMY OF ART AND SCIENCE |
| Practice Address |
38460 Lincoln Trl Ste 1 North Branch MN 55056-5834 |
| Practice Telephone | 7634020061 |
| Mailing Telephone | 7634020061 |
| Enumeration Date | 2018-10-11 |
| Last Update Date | 2018-10-11 |
| Authorized Official Name | DR. JACQUELINE MARIE KROHN (PRINCIPAL) |
| Authorized Official Telephone | 7634020061 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251300000X | Local Education Agency (LEA) | Agencies |
| Street Address |
38460 LINCOLN TRL STE 1 |
| City | NORTH BRANCH |
| State | MN |
| Zip Code | 55056-5834 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306217146 | Joy Solano | Counselor | 38873 14th Ave North, North Branch, MN 55056 | 2015-10-19 |
| 1285072637 | Teresa Ann Dewitt | Registered Nurse | 9208 St Croix Trail, North Branch, MN 55056 | 2013-06-07 |
| 1396074209 | Twin Cities Mobile Chiropractic, P.C. | Clinic/Center | 6754 380th Circle, North Branch, MN 55056 | 2009-12-24 |
| 1811157662 | Shopko Stores Operating Co LLC | Pharmacy | 5630 St Croix Trail, North Branch, MN 55056 | 2008-06-16 |
| 1023171196 | Shawn Timothy Mccullough | Dentist | 6041 Main Street, Suite C, North Branch, MN 55056 | 2006-12-19 |
| 1518050103 | Paula J Rehder | Family Medicine | 6413 Oak Street, North Branch, MN 55056 | 2006-10-02 |
| 1699711614 | Julie A Perreault | Chiropractor | 6361 Main St, No Branch, MN 55056 | 2006-06-20 |
| 1760950307 | Kara H Mireles | Marriage & Family Therapist | 5842 Old Main St, Ste 2,3,4, North Branch, MN 55056 | 2018-11-12 |
| 1134614506 | Jenna Marie Leirmoe | Counselor | 38878 12th Ave, North Branch, MN 55056 | 2018-06-27 |
| 1689835647 | Shopko Stores Operating Co LLC | Eyewear Supplier (Equipment, not the service) | 5630 St Croix Trail, North Branch, MN 55056 | 2008-06-23 |
| Find all providers in zip 55056 | ||||
| Taxonomy Code | 251300000X |
| Grouping | Agencies |
| Classification | Local Education Agency (LEA) |
| The term local education agency means a public board of education or other public authority legally constituted within a State to either provide administrative control or direction of, or perform a service function for public schools serving individuals ages 0 - 21 in a state, city, county, township, school district, or other political subdivision including a combination of school districts or counties recognized in a State as an administrative agency for its public schools. An LEA may provide, or employ professional who provide, services to children included in the Individuals with Disabilities Education Act (IDEA), such services may include, but are not limited to, such medical services as physical, occupational, and speech therapy. |
| Notes: Source: Portions of IDEA Regulations Part B (34 CFR Part 300.18, Assistance to States for the Education of Children with Disabilities) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780740381 | North Branch Isd 138 | Local Education Agency (LEA) | 6644 Main St, North Branch, MN 55056-7030 | 2006-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649870056 | Great Oaks Academy | Local Education Agency (LEA) | 6300 212th St W, Farmington, MN 55024-8903 | 2020-10-27 |
| 1417562117 | The Journeys School Inc | Local Education Agency (LEA) | 775 Lexington Pkwy N, Saint Paul, MN 55104-1436 | 2020-09-10 |
| 1891303145 | Skyline Math and Science Academy | Local Education Agency (LEA) | 2600 26th Ave S Ste 100, Minneapolis, MN 55406-4527 | 2020-07-22 |
| 1447878210 | Minnesota Internship Center | Local Education Agency (LEA) | 511 Groveland Ave, Minneapolis, MN 55403-3223 | 2020-07-08 |
| 1902443286 | Modern Montessori Charter School | Local Education Agency (LEA) | 111 Dean Ave W, Champlin, MN 55316-1343 | 2019-12-05 |
| 1235601121 | St Croix River Education District | Local Education Agency (LEA) | 425 South Dana Ave, Rush City, MN 55069 | 2018-12-18 |
| 1174094601 | Gateway Stem Academy | Local Education Agency (LEA) | 12119 16th Ave S, Burnsville, MN 55337-2982 | 2018-12-10 |
| 1538649421 | Career Pathways | Local Education Agency (LEA) | 1355 Pierce Butler Rte, Saint Paul, MN 55104-1359 | 2018-08-20 |
| 1316452436 | Universal Academy Charter School | Local Education Agency (LEA) | 2919 26th Ave S, Minneapolis, MN 55406-2611 | 2017-12-12 |
| 1841704681 | Lakes Country Service Cooperative | Local Education Agency (LEA) | 1001 E Mount Faith Ave, Fergus Falls, MN 56537-2375 | 2017-11-30 |
| Find all providers with the same taxonomy | ||||
| City | NORTH BRANCH |
| Zip Code | 55056 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.