NPIMap

Organization Active NPI

Medical Lake School District

  • Local Education Agency (LEA)
  • Medical Lake, WA
National Provider Identifier
1386996957
Registry record updated Oct 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
License
220726D Issued in WA
Legal business name
MEDICAL LAKE SCHOOL DISTRICT
Practice address
116 W. 3Rd Street
Medical Lake, WA 99022-0128
Phone
(509) 565-3100
NPI assigned
Oct 8, 2012
Last updated
Oct 8, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2012

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

Authorized official

Name
Mr. Daniel Mueller Mueller
Title
SP. Ed. Director
Phone
(509) 565-3125

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X 220726D WA Primary

Addresses

Primary practice location

116 W. 3Rd Street
Medical Lake, WA 99022-0128

Mailing address

PO Box 128
Medical Lake, WA 99022-0128
Phone (509) 565-3100

National Provider Directory

National Provider Directory
Tax ID family
Medical Lake School District3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

116 W 3rd
Medical Lake, WA 99022
Phone (509) 565-3100

Practitioners & affiliated clinicians

Practitioners 5

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": "1349654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349654400000",
    "number": "1386996957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 128",
            "city": "MEDICAL LAKE",
            "state": "WA",
            "postal_code": "990220128",
            "telephone_number": "509-565-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 W. 3RD STREET",
            "city": "MEDICAL LAKE",
            "state": "WA",
            "postal_code": "990220128",
            "telephone_number": "509-565-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL LAKE SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-08",
        "last_updated": "2012-10-08",
        "status": "A",
        "authorized_official_last_name": "MUELLER",
        "authorized_official_first_name": "DANIEL MUELLER",
        "authorized_official_title_or_position": "SP. ED. DIRECTOR",
        "authorized_official_telephone_number": "509-565-3125",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "WA",
            "license": "220726D",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medical Lake, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2012; 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.