Steilacoom Historical School District

Key facts

NPI

1104835511

Entity type

Organization (NPI type 2)

Primary specialty

Local Education Agency (LEA) 251300000X

Legal business name

STEILACOOM HISTORICAL SCHOOL DISTRICT

Practice address

511 Chambers St
Steilacoom, WA 98388-3304

Phone

(253) 983-2238

Fax

(253) 582-9274

NPI assigned

Aug 5, 2006

Organization subpart

No

Authorized official

Name

Amy J Prisco

Title

Student Services Specialist

Phone

(253) 983-2238

Practitioners 1

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

• Joslynne Rebecca Davidson School Psychologist · Steilacoom, WA · NPI 1003169921
  NPD (past)

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

National Provider Directory

Locations

Specialties & licenses

Addresses

Other identifiers

Other names

• Steilacoom Historical School District Former legal business name

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 12, 2026.

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778544000000",
    "number": "1104835511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 CHAMBERS ST",
            "city": "STEILACOOM",
            "state": "WA",
            "postal_code": "983883304",
            "telephone_number": "253-983-2238",
            "fax_number": "253-582-9274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 CHAMBERS ST",
            "city": "STEILACOOM",
            "state": "WA",
            "postal_code": "983883304",
            "telephone_number": "253-983-2238",
            "fax_number": "253-582-9274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEILACOOM HISTORICAL SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A",
        "authorized_official_last_name": "PRISCO",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "STUDENT SERVICES SPECIALIST",
        "authorized_official_telephone_number": "253-983-2238"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7440746",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Steilacoom Historical School District",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Steilacoom Historical School District",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Steilacoom, WA

• Sandra Ruth Shovlain, RN
• Maureen Elizabeth Shuckhart, OTR/L
• Abigail Simpson, LMT, RMT, LMP
• Diamond Kartierra Skiff, LMP
• Lydia Stanbery
• Najibullah Sayed Stoman, PA
• Alyson Stacy Sundberg, BSN, RN
• Linda Taggart-Ross, MSPA CCC-SP
• Meredith Jean Thibo, O.T.R./L
• Tooth Fairies LLC

All providers in Steilacoom, WA · Local Education Agency (LEA) in Washington