Northshore School District

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

NORTHSHORE SCHOOL DISTRICT

Practice address

3330 Monte Villa Pkwy
Bothell, WA 98021-8972

Phone

(425) 489-6388

Fax

(425) 489-6499

NPI assigned

Jul 10, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Ed Koehl

Title

Director, Secondary Spec. Educ.

Phone

(425) 489-6296

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366476996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3330 MONTE VILLA PKWY",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980218972",
            "telephone_number": "425-489-6388",
            "fax_number": "425-489-6499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 MONTE VILLA PKWY",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980218972",
            "telephone_number": "425-489-6388",
            "fax_number": "425-489-6499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSHORE SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KOEHL",
        "authorized_official_first_name": "ED",
        "authorized_official_title_or_position": "DIRECTOR, SECONDARY SPEC. EDUC.",
        "authorized_official_telephone_number": "425-489-6296",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7440522",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Northland Hearing Center, Inc.
• Northshore Dental Center LLC
• Northshore Family Practice PLLC
• Northshore Health PLLC
• Northshore Physical Therapy
• Northshore Senior Center
• Northshore Youth and Family Services
• Northstore Youth & Family SVCS
• Northwest Foot and Ankle Specialists, LLC
• Northwest Functional Nutrition, LLC

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