NPI age
14 years
Enumerated 2011-06-06
● Active Type 2 · Organization
Legacy Charter School
Legacy Charter School is 1 of 185 local education agency (lea) organizations in Idaho.
Primary specialty
Local Education Agency (LEA)
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Blackburn
Operations Manager
Last NPPES update
2011-06-06
Source: monthly bulk 2026-05
How this organization compares
Across 185 active local education agency (lea) providers in Idaho.
NPI age
14 years
↓ 4 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2011 → 2026
2011-06Enumerated in NPPES
2011
2026
Where they practice
Primary practice location
2422 12th Ave Rd, #225
Nampa, ID 836866300
Mailing address
2422 12th Ave Rd, #225
Nampa, ID 836866300
Authorized official
Celeste Blackburn
Operations Manager
📞 2089229300
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Connor Brown, DPT Physical Therapist NPI 1235713090
- Mark Wiseman, LPC Counselor NPI 1376847269
Specialties
-
Local Education Agency (LEA) PrimaryThe 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...
Practice context
Multi-provider organization. 2 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.