Active NPI
Wissahickon Charter School
- Local Education Agency (LEA)
- Philadelphia, PA
National Provider Identifier
1558484576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Local Education Agency (LEA)
- Legal business name
- WISSAHICKON CHARTER SCHOOL
- Practice address
- 4700-G Wissahickon Ave
Philadelphia, PA 19144 - Phone
- (267) 338-1020
- Fax
- (267) 338-1030
- NPI assigned
- Apr 6, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Kristina P Littell
- Title
- Ceo
- Phone
- (267) 338-1020
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Local Education Agency (LEA) | 251300000X | PA | Primary |
Addresses
Primary practice location
4700-G Wissahickon Ave
Philadelphia, PA 19144
Mailing address
4700-G Wissahickon Ave
Philadelphia, PA 19144
Phone (267) 338-1020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0019405740001 | Medicaid | PA |
National Provider Directory
National Provider DirectoryLocations
4700 Wissahickon Ave
#G
Philadelphia, PA 19144
Phone (267) 338-1020
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175817600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1459382400000",
"number": "1558484576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4700-G WISSAHICKON AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19144",
"telephone_number": "267-338-1020",
"fax_number": "267-338-1030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4700-G WISSAHICKON AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19144",
"telephone_number": "267-338-1020",
"fax_number": "267-338-1030"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WISSAHICKON CHARTER SCHOOL",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-06",
"last_updated": "2016-03-31",
"status": "A",
"authorized_official_last_name": "LITTELL",
"authorized_official_first_name": "KRISTINA",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "267-338-1020",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251300000X",
"taxonomy_group": "",
"desc": "Local Education Agency (LEA)",
"state": "PA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0019405740001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.