Organization Active NPI

Everett Public Schools

  • Registered Nurse
  • Everett, WA
National Provider Identifier
1366800096
Registry record updated Feb 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
Legal business name
EVERETT PUBLIC SCHOOLS
Practice address
15404 Silver Firs Dr
Everett, WA 98208-8939
Phone
(425) 385-6601
NPI assigned
Feb 9, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2016

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

Authorized official

Name
Rebecca Clifford
Title
Executive Director Spec Services
Phone
(425) 385-5250

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163W00000X Primary

Addresses

Primary practice location

15404 Silver Firs Dr
Everett, WA 98208-8939

Mailing address

PO Box 2098
Everett, WA 98213-0098

Other identifiers 3

IdentifierTypeStateIssuer
163WS0200XOtherSCHOOL
163WS0200XMedicaidWA
163WS0200XOtherWAEVERETT SCHOOL DISTRICT. SPECIAL SERVICES. 1:1 NURSING CARE

National Provider Directory

National Provider Directory
Tax ID family
Everett Public Schools2 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.

Locations

15404 Silver Firs Dr
Everett, WA 98208
Phone (425) 385-6601

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1454976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454976000000",
    "number": "1366800096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2098",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982130098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15404 SILVER FIRS DR",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982088939",
            "telephone_number": "425-385-6601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERETT PUBLIC SCHOOLS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-09",
        "last_updated": "2016-02-09",
        "status": "A",
        "authorized_official_last_name": "CLIFFORD",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR SPEC SERVICES",
        "authorized_official_telephone_number": "425-385-5250"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SCHOOL",
            "identifier": "163WS0200X",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "163WS0200X",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EVERETT SCHOOL DISTRICT.  SPECIAL SERVICES.  1:1 NURSING CARE",
            "identifier": "163WS0200X",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2016; 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.