Organization Active NPI

Mary M Knight School District

  • Local Education Agency (LEA)
  • Shelton, WA
National Provider Identifier
1487749628
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
MARY M KNIGHT SCHOOL DISTRICT
Practice address
700 S 1St St
C/O Shelton-Mason County Coop
Shelton, WA 98584-3602
Phone
(360) 426-2151
Fax
(360) 426-9727
NPI assigned
Oct 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Edward D Born
Title
Director of Special Services
Phone
(360) 426-2151

Specialties & licenses 1

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

Addresses

Primary practice location

700 S 1St St
C/O Shelton-Mason County Coop
Shelton, WA 98584-3602

Mailing address

700 S 1St St
C/O Shelton-Mason County Coop
Shelton, WA 98584-3602
Phone (360) 426-2151

Other identifiers 1

IdentifierTypeStateIssuer
7442346MedicaidWA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487749628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 S 1ST ST",
            "address_2": "C/O SHELTON-MASON COUNTY COOP",
            "city": "SHELTON",
            "state": "WA",
            "postal_code": "985843602",
            "telephone_number": "360-426-2151",
            "fax_number": "360-426-9727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 S 1ST ST",
            "address_2": "C/O SHELTON-MASON COUNTY COOP",
            "city": "SHELTON",
            "state": "WA",
            "postal_code": "985843602",
            "telephone_number": "360-426-2151",
            "fax_number": "360-426-9727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY M KNIGHT SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BORN",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DIRECTOR OF SPECIAL SERVICES",
        "authorized_official_telephone_number": "360-426-2151",
        "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": "7442346",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelton, WA

Sources for this page

  • 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.