Evergreen School District Vancouver 114

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

EVERGREEN SCHOOL DISTRICT VANCOUVER 114

Practice address

14619 NE 49TH St Ste B
Vancouver, WA 98682-6486

Phone

(360) 604-6700

Fax

(360) 604-6702

NPI assigned

Oct 18, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Candace L Baker

Title

Special Education Director

Phone

(360) 604-6700

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245311141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14619 NE 49TH ST STE B",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986826486",
            "telephone_number": "360-604-6700",
            "fax_number": "360-604-6702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14619 NE 49TH ST STE B",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986826486",
            "telephone_number": "360-604-6700",
            "fax_number": "360-604-6702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN SCHOOL DISTRICT VANCOUVER 114",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "CANDACE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SPECIAL EDUCATION DIRECTOR",
        "authorized_official_telephone_number": "360-604-6700",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7440365",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Local Education Agency (LEA) in Vancouver, WA
• Providers in Vancouver, 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.