Martin Luther King Jr Family Outreach Center

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

Legal business name

MARTIN LUTHER KING JR FAMILY OUTREACH CENTER

Practice address

845 S Sherman St
Spokane, WA 99202-1260

Phone

(509) 455-8722

Fax

(509) 455-7801

NPI assigned

Feb 2, 2016

Organization subpart

No

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

Authorized official

Name

Freda Gandy

Title

Executive Director

Phone

(509) 455-8722

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kathleen Rowe

  • Clinical Social Worker
  • Spokane, WA
  • NPI 1265887400
  NPD (past)
• Shawna M. Shelton, M.ED., M.S., LMHC

  • Mental Health Counselor
  • Spokane, WA
  • NPI 1346587193
  NPD (past)

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

{
    "created_epoch": "1454371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454371200000",
    "number": "1699133827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "845 S SHERMAN ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992021260",
            "telephone_number": "509-455-8722",
            "fax_number": "509-455-7801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 S SHERMAN ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992021260",
            "telephone_number": "509-455-8722",
            "fax_number": "509-455-7801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN LUTHER KING JR FAMILY OUTREACH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-02",
        "last_updated": "2016-02-02",
        "status": "A",
        "authorized_official_last_name": "GANDY",
        "authorized_official_first_name": "FREDA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "509-455-8722"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Marte
• Kelsey Louise Martell, DO
• Megan Martell
• Caitlin Martens
• Katie Martes, LMHC
• Julie A Martin-Ritz
• Adam Martin
• Alyssa Martin
• Amy Laura Martin, D.O.
• Bailey Lee Ann Martin

• Voluntary or Charitable Agency in Spokane, WA
• Providers in Spokane, WA by specialty
• Voluntary or Charitable Agency in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.