Reardan-Edwall School District

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

REARDAN-EDWALL SCHOOL DISTRICT

Practice address

215 E Spokane Ave
Reardan, WA 99029

Phone

(509) 796-2711

Fax

(509) 796-4954

NPI assigned

Sep 26, 2006

Organization subpart

No

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

Authorized official

Name

Carol Gillespie

Title

Business Manager

Phone

(509) 796-2711

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013018746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 E SPOKANE AVE",
            "address_2": "PO BOX 225",
            "city": "REARDAN",
            "state": "WA",
            "postal_code": "99029",
            "telephone_number": "509-796-2711",
            "fax_number": "509-796-4954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 E SPOKANE AVE",
            "city": "REARDAN",
            "state": "WA",
            "postal_code": "99029",
            "telephone_number": "509-796-2711",
            "fax_number": "509-796-4954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REARDAN-EDWALL SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GILLESPIE",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "509-796-2711"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7441769",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erin Henson, SLP CF
• Calli Marie Koenig, LMT
• Lincoln County Hospital District 3
• Lynn Maurer
• Nova Dawn Pratt, LMP
• Victoria Sattler, RN
• Susan Mary Stoddard, LMP
• Brian P Yoon, ARNP

• Local Education Agency (LEA) in Reardan, WA
• Providers in Reardan, WA by specialty
• Local Education Agency (LEA) in Washington

• 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.