WATERLOO CSD (NPI# 1679630909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679630909 |
| Entity Type | Organization |
| Organization Name | WATERLOO CSD |
| Practice Address |
109 Washington St Waterloo NY 13165-1835 |
| Practice Telephone | 3155391510 |
| Practice Fax Number | 3155391599 |
| Mailing Telephone | 3155391510 |
| Mailing Fax Number | 3155391599 |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. PATRICIA S JOHNSON (SBA) |
| Authorized Official Telephone | 3155391510 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251300000X | Local Education Agency (LEA) | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01383384 | 05 |
| Street Address |
109 WASHINGTON ST |
| City | WATERLOO |
| State | NY |
| Zip Code | 13165-1835 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932475449 | John J Gobe | Occupational Therapist | 109 Washington St, Waterloo Central School District, Waterloo, NY 13165-1835 | 2012-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497284848 | Mary Reese | Registered Nurse | 31 Thurber Drive, Waterloo, NY 13165 | 2017-06-08 |
| 1841738788 | Kristina Marie Metz | Counselor | 31 Thurber Dr., Waterloo, NY 13165 | 2017-02-10 |
| 1902273675 | Elisabeth Rouse | Licensed Practical Nurse | 21 Oak St Apt A., Waterloo, NY 13165 | 2015-08-28 |
| 1164773735 | Stephen Frederick Hartman | Dentist | 107 North Virginia Street, Waterloo, NY 13165 | 2012-09-24 |
| 1417204355 | Ute E Gallert | Nurse Practitioner | 369 E. Main Street, Huntington Living Center, Waterloo, NY 13165 | 2012-08-09 |
| 1770803918 | Shelley Reeland | Massage Therapist | 1388 Rt 96 N, Waterloo, NY 13165 | 2010-06-10 |
| 1275856031 | Yecham Kumaraswamy | Pharmacist | 1963 Route 5&20 Street, Waterloo, NY 13165 | 2010-03-09 |
| 1801128632 | David Edward Janack | Pharmacist | 1860 North Road, Waterloo, NY 13165 | 2010-02-04 |
| 1336476753 | Laura Jane Miccuci | Pharmacist | 1963 Routes 5 & 20, Waterloo, NY 13165 | 2009-11-05 |
| 1528203759 | Joanne Farula Corey | Speech-Language Pathologist | 2932 Rt. 96, Waterloo, NY 13165 | 2008-12-02 |
| Find all providers in zip 13165 | ||||
| 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 |
|---|---|---|---|---|
| 1831666932 | Tiffany Williams | Local Education Agency (LEA) | 2465 Bonadent Dr Ste 3, Waterloo, NY 13165-4111 | 2018-10-26 |
| 1356435069 | Waterloo Comm | Local Education Agency (LEA) | 200 N Rogers, Waterloo, IL 62298 | 2006-10-03 |
| 1275712804 | Waterloo School District | Local Education Agency (LEA) | 813 N Monroe St, Waterloo, WI 53594-1171 | 2007-10-31 |
| 1518019868 | Waterloo Community School District | Local Education Agency (LEA) | 1516 Washington St, Waterloo, IA 50702-1639 | 2007-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528666161 | Jenice Nicolette Gill-richardson | Local Education Agency (LEA) | 33 Elizabeth St, Staten Island, NY 10310-1933 | 2020-10-15 |
| 1205440468 | Cheryl Mindi Lachant | Local Education Agency (LEA) | 8 Elizabeth Ln, New Windsor, NY 12553-7202 | 2020-09-04 |
| 1114544228 | Rina Veras | Local Education Agency (LEA) | 2156 Cruger Ave Apt 5a, Bronx, NY 10462-1623 | 2020-07-06 |
| 1588288120 | You Can Thrive Foundation | Local Education Agency (LEA) | 535 W 23rd St Apt S8r, New York, NY 10011-1124 | 2020-05-29 |
| 1689207425 | Westchester Independent Living Center | Local Education Agency (LEA) | 1441 Route 22 Ste 204, Brewster, NY 10509-4358 | 2020-02-20 |
| 1710529201 | Marcia Joan Meshel | Local Education Agency (LEA) | 5809 246th Cres, Douglaston, NY 11362-2053 | 2019-10-16 |
| 1770130163 | Ching Ha Jenny Wu | Local Education Agency (LEA) | 6811 15th Ave, Brooklyn, NY 11219-6310 | 2019-08-21 |
| 1437704418 | Boquet Valley Central School | Local Education Agency (LEA) | 25 Sisco St, Westport, NY 12993 | 2019-08-06 |
| 1124672993 | Josh Pesin | Local Education Agency (LEA) | 239 Bay 34th St Apt 1e, Brooklyn, NY 11214-5896 | 2019-07-30 |
| 1649738261 | Innovative Lifestyle Solutions | Local Education Agency (LEA) | 2013 Chestnut St, North Baldwin, NY 11510-2539 | 2019-03-04 |
| 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.