Organization Active NPI

Marysville School District

  • Speech-Language Pathologist
  • Marysville, WA
National Provider Identifier
1235553348
Registry record updated Feb 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
350661E Issued in WA
Legal business name
MARYSVILLE SCHOOL DISTRICT
Practice address
4220 80TH Street NE
Marysville School District
Marysville, WA 98270
Phone
(360) 653-7058
Fax
(360) 657-6824
NPI assigned
Feb 10, 2014
Last updated
Feb 10, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2014

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

Authorized official

Name
Mrs. Tracy Suchan Toothaker, MA ED AND ADMINISTRA
Title
Director of Special Ed SVCS
Phone
(360) 653-0825

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X LL60432328 WA
Speech-Language Pathologist 235Z00000X 350661E WA Primary

Addresses

Primary practice location

4220 80TH Street NE
Marysville School District
Marysville, WA 98270

Mailing address

4220 80TH Street NE
Marysville School District
Marysville, WA 98270
Phone (360) 653-7058

National Provider Directory

National Provider Directory
Tax ID family
Marysville School District2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1391990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391990400000",
    "number": "1235553348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4220 80TH STREET NE",
            "address_2": "MARYSVILLE SCHOOL DISTRICT",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "98270",
            "telephone_number": "360-653-7058",
            "fax_number": "360-657-6824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4220 80TH STREET NE",
            "address_2": "MARYSVILLE SCHOOL DISTRICT",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "98270",
            "telephone_number": "360-653-7058",
            "fax_number": "360-657-6824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYSVILLE SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-10",
        "last_updated": "2014-02-10",
        "status": "A",
        "authorized_official_last_name": "SUCHAN TOOTHAKER",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "DIRECTOR OF SPECIAL ED SVCS",
        "authorized_official_telephone_number": "360-653-0825",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA ED AND ADMINISTRA"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL60432328",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "350661E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marysville, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2014; 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.