Organization Active NPI

Central Valley School District#356

  • Nursing Care Agency
  • Spokane Valley, WA
National Provider Identifier
1437556578
Registry record updated Dec 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
Legal business name
CENTRAL VALLEY SCHOOL DISTRICT#356
Practice address
19307 E Cataldo Ave
Spokane Valley, WA 99016-9489
Phone
(509) 228-5300
NPI assigned
Dec 3, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2014

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

Authorized official

Name
Ms. Mary Cooke Pettit, REGISTERED NURSE
Title
LPN/Paraeducator
Phone
(509) 922-1701

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X Primary

Addresses

Primary practice location

19307 E Cataldo Ave
Spokane Valley, WA 99016-9489

Mailing address

19307 E Cataldo Ave
Spokane Valley, WA 99016-9489
Phone (509) 228-5300

Other identifiers 1

IdentifierTypeStateIssuer
RN00067695MedicaidWA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1417564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417564800000",
    "number": "1437556578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19307 E CATALDO AVE",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "990169489",
            "telephone_number": "509-228-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19307 E CATALDO AVE",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "990169489",
            "telephone_number": "509-228-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL VALLEY SCHOOL DISTRICT#356",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-03",
        "last_updated": "2014-12-03",
        "status": "A",
        "authorized_official_last_name": "PETTIT",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "COOKE",
        "authorized_official_title_or_position": "LPN/PARAEDUCATOR",
        "authorized_official_telephone_number": "509-922-1701",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RN00067695",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane Valley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.