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MINNETONKA PUBLIC SCHOOLS
NPI 1285911750
Local Education Agency (LEA) in Minnetonka, MN

Active since November 10, 2011CLIA 24D0949248 · Waiver
5621 COUNTY ROAD 101, MINNETONKA, MN 55345(952) 401-5017(952) 401-5032 Get Directions Write a Review

NPPES record last updated: November 10, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Minnetonka Public Schools NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MINNETONKA PUBLIC SCHOOLS (NPI 1285911750) is a healthcare organization registered as a local education agency (lea) in Minnetonka, Minnesota and active in the NPI registry since November 2011. The organization holds a CLIA Waiver certificate valid through December 27, 2027 and lists Jan R Bootsma, Executive Director Of Student Suppo, as its authorized official.

NPPES Registry Identity

NPI1285911750
Entity TypeOrganization
Primary Taxonomy251300000X
Legal Business NameMINNETONKA PUBLIC SCHOOLS
Location Address5621 COUNTY ROAD 101Minnetonka, MN 55345-4214
Mailing Address5621 County Road 101Minnetonka, MN 55345-4214 · (952) 401-5017 · Fax (952) 401-5032
Phone(952) 401-5017
Fax(952) 401-5032
Organization SubpartNo
Authorized OfficialJan R BootsmaExecutive Director Of Student Suppo · (952) 401-5017
Enumeration DateNovember 10, 2011
✔ NPI 1285911750 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLocal Education Agency (LEA)Agencies
Taxonomy Code251300000X
Definition
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.
5621 COUNTY ROAD 101, Minnetonka, MN 55345
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 24D0949248

Minnetonka Public Schools · Minnetonka, MN
Active · expires Dec 27, 2027
CLIA Number24D0949248
Laboratory TypeSchool/Student Health Service
Certificate Effective DateDecember 28, 2025
Certificate Expiration DateDecember 27, 2027
Laboratory DirectorAnnie D. Lumbar Bendson
Laboratory Phone(952) 401-5992
Laboratory LocationMinnetonka Public Schools5621 County Road 101, Minnetonka, MN 55345
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. DAWN TORINE
Occupational Therapist
5621 COUNTY ROAD 101
MINNETONKA, MN 55345
Hennepin County (952) 401-5000
KRISTINE JACOBSEN REGISTERED NURSE
Registered Nurse (School)
5621 COUNTY ROAD 101
MINNETONKA, MN 55345
Hennepin County (952) 401-5000
AMY LENGELING
Speech-Language Pathologist
5621 COUNTY ROAD 101
MINNETONKA, MN 55345
Hennepin County (952) 401-5000
ELIZABETH FARNUM
Speech-Language Pathologist
5621 COUNTY ROAD 101
MINNETONKA, MN 55345
Hennepin County (952) 401-5400
TROY DVORAK
Psychologist (School)
5621 COUNTY ROAD 101
MINNETONKA, MN 55345
Hennepin County (952) 401-5000
BARBARA L KELII MA, OTR/L
Occupational Therapist
5621 COUNTY ROAD 101
MINNETONKA, MN 55345
Hennepin County (952) 401-5000
DANNEKA MILLER HALVERSON CCC-SLP
Speech-Language Pathologist
5621 COUNTY ROAD 101
MINNETONKA, MN 55345
Hennepin County (952) 401-5000
MEGAN G DURBIN SCHOOL PSYCHOLOGIST
Psychologist (School)
5621 COUNTY ROAD 101
MINNETONKA, MN 55345
Hennepin County (952) 401-5000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Minnetonka Public Schools's NPI number?

The NPI number for Minnetonka Public Schools is 1285911750. It was assigned to this organization in the NPPES registry on November 10, 2011.

Where is Minnetonka Public Schools located?

Minnetonka Public Schools is located at 5621 County Road 101, Minnetonka, MN 55345. The listed phone number is (952) 401-5017.

What is Minnetonka Public Schools's specialty?

The primary specialty registered for this NPI is Local Education Agency (LEA) with taxonomy code 251300000X.

Does Minnetonka Public Schools hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D0949248) is associated with this NPI, valid through December 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Minnetonka Public Schools was last updated on November 10, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.