Organization Active NPI

Lake Stevens School District

  • Local Education Agency (LEA)
  • Lake Stevens, WA
National Provider Identifier
1003847005
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
LAKE STEVENS SCHOOL DISTRICT
Practice address
12309 22ND St NE
Lake Stevens, WA 98258-9500
Phone
(425) 335-1500
Fax
(425) 335-1549
NPI assigned
Jul 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Teresa Main
Title
Exec. Director of Business Services
Phone
(425) 335-1500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X WA Primary

Addresses

Primary practice location

12309 22ND St NE
Lake Stevens, WA 98258-9500

Mailing address

12309 22ND St NE
Lake Stevens, WA 98258-9500
Phone (425) 335-1500

Other identifiers 1

IdentifierTypeStateIssuer
7441801MedicaidWA

National Provider Directory

National Provider Directory

Locations

12309 22nd St NE
Lake Stevens, WA 98258
Phone (425) 335-1500

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003847005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12309 22ND ST NE",
            "city": "LAKE STEVENS",
            "state": "WA",
            "postal_code": "982589500",
            "telephone_number": "425-335-1500",
            "fax_number": "425-335-1549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12309 22ND ST NE",
            "city": "LAKE STEVENS",
            "state": "WA",
            "postal_code": "982589500",
            "telephone_number": "425-335-1500",
            "fax_number": "425-335-1549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE STEVENS SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MAIN",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "EXEC. DIRECTOR OF BUSINESS SERVICES",
        "authorized_official_telephone_number": "425-335-1500"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7441801",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Stevens, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.