Impact Public Schools

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

IMPACT PUBLIC SCHOOLS

Doing business as

Impact Commencement Bay Elementary
Impact Puget Sound Elementary
Impact Salish Sea Elementary

Practice address

3438 S 148TH St
Tukwila, WA 98168-4319

Phone

(206) 712-7640

NPI assigned

Oct 27, 2022

Last updated

Oct 27, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Zhe Liao

Title

Cfo

Phone

(206) 712-7640

Specialties & licenses 1

Addresses

Other names 3

• Impact Commencement Bay Elementary Doing business as
• Impact Puget Sound Elementary Doing business as
• Impact Salish Sea Elementary Doing business as

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1666828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666828800000",
    "number": "1164149373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3438 S 148TH ST",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981684319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3438 S 148TH ST",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981684319",
            "telephone_number": "206-712-7640"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3900 S Holly Park Dr",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981183757",
            "country_code": "US",
            "telephone_number": "206-712-7640",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1301 E 34th St",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984043906",
            "country_code": "US",
            "telephone_number": "206-712-7640",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "IMPACT PUBLIC SCHOOLS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-27",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A",
        "authorized_official_last_name": "LIAO",
        "authorized_official_first_name": "ZHE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "206-712-7640"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Impact Commencement Bay Elementary",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Impact Puget Sound Elementary",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Impact Salish Sea Elementary",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ieahalwafaa Ibrahim
• Ideal Option, PLLC
• Ranette Iding
• Olabamiji Michael Idowu
• Impact Accident & Injury Chiropractic
• Dontay Ingram
• Christopher Intanam
• Angela Irvine, LMP
• Courtney Ann Isenbarger, SUDP
• Katherine Ellenor Ishizuka, BA, CDPT

• Local Education Agency (LEA) in Tukwila, WA
• Providers in Tukwila, 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 Oct 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.