Organization Active NPI

Wissahickon Charter School

  • Local Education Agency (LEA)
  • Philadelphia, PA
National Provider Identifier
1558484576
Registry record updated Mar 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
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

Updated by the provider on Mar 31, 2016

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0019405740001MedicaidPA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.