Organization Active NPI

Pride Prep Schools

  • Local Education Agency (LEA)
  • Spokane, WA
National Provider Identifier
1619360104
Registry record updated Mar 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
License
251300000X Issued in WA
Legal business name
PRIDE PREP SCHOOLS
Practice address
811 E Sprague Ave Ste a
Spokane, WA 99202-2105
Phone
(509) 389-4848
NPI assigned
Mar 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2015

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

Authorized official

Name
Ms. Brenda McDonald, DR.
Title
Founder
Phone
(509) 389-4848

Specialties & licenses 1

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

Addresses

Primary practice location

811 E Sprague Ave Ste a
Spokane, WA 99202-2105

Mailing address

811 E Sprague Ave Ste a
Spokane, WA 99202-2105
Phone (509) 389-4848

Other identifiers 1

IdentifierTypeStateIssuer
251300000XMedicaidWA

National Provider Directory

National Provider Directory

Locations

811 E Sprague Ave
Ste A
Spokane, WA 99202
Phone (509) 389-4848

NPI Registry JSON

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

{
    "created_epoch": "1425859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426809600000",
    "number": "1619360104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 E SPRAGUE AVE STE A",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992022105",
            "telephone_number": "509-389-4848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 E SPRAGUE AVE STE A",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992022105",
            "telephone_number": "509-389-4848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIDE PREP SCHOOLS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-09",
        "last_updated": "2015-03-20",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "509-389-4848",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "DR."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "WA",
            "license": "251300000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "251300000X",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2015; 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.