NPIMap

Organization Active NPI

Douglas Education Service District

  • Local Education Agency (LEA)
  • Roseburg, OR
National Provider Identifier
1497649156
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
DOUGLAS EDUCATION SERVICE DISTRICT
Practice address
1409 NE Diamond Lake Blvd Ste 110
Roseburg, OR 97470-3356
Phone
(541) 440-4753
NPI assigned
Jun 6, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

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

Authorized official

Name
Analicia Nicholson
Title
Superintendent
Phone
(541) 440-4753

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WS0200X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X
Local Education Agency (LEA) 251300000X Primary

Addresses

Primary practice location

1409 NE Diamond Lake Blvd Ste 110
Roseburg, OR 97470-3356

Mailing address

1409 NE Diamond Lake Blvd Ste 110
Roseburg, OR 97470-3356
Phone (541) 440-4753

National Provider Directory

National Provider Directory
Tax ID family
Douglas Education Service District8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

NPI Registry JSON

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

{
    "created_epoch": "1749168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756857600000",
    "number": "1497649156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 NE DIAMOND LAKE BLVD STE 110",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974703356",
            "telephone_number": "541-440-4753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 NE DIAMOND LAKE BLVD STE 110",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974703356",
            "telephone_number": "541-440-4753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS EDUCATION SERVICE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-06",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A",
        "authorized_official_last_name": "NICHOLSON",
        "authorized_official_first_name": "ANALICIA",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "541-440-4753"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, School",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseburg, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; 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.