BLUE HERON (NPI# 1376972190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376972190 |
| Entity Type | Organization |
| Organization Name | BLUE HERON |
| Other Organization Name | KONOCTI UNIFIED |
| Practice Address |
15850 Dam Road Ext Clearlake CA 95422-9359 |
| Practice Telephone | 7079946447 |
| Mailing Telephone | 7079946447 |
| Enumeration Date | 2013-11-02 |
| Last Update Date | 2013-11-02 |
| Authorized Official Name | DONNA BECNEL (SUPERINTENDENT) |
| Authorized Official Telephone | 7079946475 |
| 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 |
| Other Name | Type Code |
|---|---|
| Konocti Unified | Other Name - Individual/Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | BLUE HERON | 100 W Commercial, Coos Bay, OR 97420 |
| Vermont Business Registrations | BLUE HERON | 41 Elm Street, Montpelier, VT 05602 |
| Oregon Corporations, Companies and Business Names | BLUE HERON 31, LLC | 7720 S Macadam Ave #29, Portland, OR 97219 |
| Colorado Business Entities | Blue Heron 4 Investments, LLC | 2526 Patterson Road, Grand Junction, CO 81505 |
| Washington State Corporations | BLUE HERON 6210 LLC | 6210 S 11th St, Ridgefield, WA 98642-4804 |
| Colorado Business Entities | Blue Heron Acres, LLC | 929 New Bedford Drive, Cheyenne, WY 82009 |
| Washington State Corporations | BLUE HERON AERIE HOMEOWNERS ASSOCIATION | 5032 Ramblewood Ln Se, Olympia, WA 98513 |
| Oregon Corporations, Companies and Business Names | BLUE HERON AGGREGATES CORPORATION | 3000 Delta Hwy N, Eugene, OR 97408 |
| Vermont Business Registrations | BLUE HERON AIKIDO INC | 2 Evergreen Ln, Middlebury, VT 05753 |
| Washington State Corporations | BLUE HERON ASSOCIATES LLC | 22531 10th Ave S, Des Moines, WA 98198-6914 |
| Street Address |
15850 DAM ROAD EXT |
| City | CLEARLAKE |
| State | CA |
| Zip Code | 95422-9359 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366006595 | Sheila Jane Mccarthy | Occupational Therapist | 15850 Dam Road Ext, Clearlake, CA 95422-9359 | 2019-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831729201 | Richard Charles Hammond | Counselor | 7000 B South Center Drive, Clearlake, CA 95422 | 2020-01-24 |
| 1609416437 | Junirose Thom | Behavioral Analyst | 4456 Manzanita Avenue Suite 2, Clearlake, CA 95422 | 2020-01-09 |
| 1649781360 | Lake County Office of Education | Local Education Agency (LEA) | 3350 Acacia St, Clearlake, CA 95422 | 2017-10-20 |
| 1083091326 | Noelle Menesini | Physician Assistant | 15230 Lake Shore Drive, Clearlake, CA 95422 | 2015-05-06 |
| 1861820979 | Lake County Office of Education | Local Education Agency (LEA) | 6945 Old Highway 53, Clearlake, CA 95422 | 2013-10-29 |
| 1124469838 | Hassan Sheikh Moghaddas | Surgery | 15332 Lakeshore Dr Ste 101, Clearlake, CA 95422 | 2013-07-10 |
| 1366710279 | Nancy Bylund | Licensed Psychiatric Technician | 7000b South Center Drive, Clearlake, CA 95422 | 2011-12-06 |
| 1699060830 | Planned Parenthood Shasta Pacific | Clinic/Center | 1437 Olympic Drive, Cleaklake, CA 95422 | 2011-06-16 |
| 1164655247 | Hector Lara | Counselor | 14130 Lakeshore Dr., Clearlake, CA 95422 | 2009-08-24 |
| 1518197607 | Vishal V Desai | Pharmacist | 15025, Olympic Drive, Clearlake, CA 95422 | 2009-07-23 |
| Find all providers in zip 95422 | ||||
| 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 |
|---|---|---|---|---|
| 1649781360 | Lake County Office of Education | Local Education Agency (LEA) | 3350 Acacia St, Clearlake, CA 95422 | 2017-10-20 |
| 1568891778 | Burns Valley Elementary School | Local Education Agency (LEA) | 3260 Pine Street, Clearlake, CA 95422-7090 | 2013-11-07 |
| 1861820979 | Lake County Office of Education | Local Education Agency (LEA) | 6945 Old Highway 53, Clearlake, CA 95422 | 2013-10-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902403553 | Sherman Thomas Charter Schools | Local Education Agency (LEA) | 101 W Adell St, Madera, CA 93638-0877 | 2020-10-07 |
| 1740895978 | Unity Schools | Local Education Agency (LEA) | 1180 70th Ave, Oakland, CA 94621-3216 | 2020-09-14 |
| 1578178786 | Unity Schools | Local Education Agency (LEA) | 6038 Brann St, Oakland, CA 94605-1544 | 2020-09-14 |
| 1942813993 | Pacific Health Education Center | Local Education Agency (LEA) | 5300 California Ave Ste 200, Bakersfield, CA 93309-1642 | 2020-08-28 |
| 1346853207 | Pacific Health Education Center Community Clinic | Local Education Agency (LEA) | 5300 California Ave Ste 220, Bakersfield, CA 93309-1644 | 2020-08-28 |
| 1164035572 | The Palmdale Aerospace Academy | Local Education Agency (LEA) | 3300 E Palmdale Blvd, Palmdale, CA 93550-5036 | 2020-08-25 |
| 1073123444 | Santa Rosa Academy, Inc | Local Education Agency (LEA) | 27587 La Piedra Rd, Menifee, CA 92584-8376 | 2020-07-31 |
| 1659989168 | Schools In Action | Local Education Agency (LEA) | 1241 S Soto St Ste 212, Los Angeles, CA 90023-2672 | 2020-07-21 |
| 1891303855 | Core Butte Charter School | Local Education Agency (LEA) | 2847 Notre Dame Blvd, Chico, CA 95928-8319 | 2020-07-16 |
| 1497372650 | Arcadia Unified School District | Local Education Agency (LEA) | 150 S 3rd Ave, Arcadia, CA 91006-3703 | 2020-07-02 |
| Find all providers with the same taxonomy | ||||
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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.