Organization Active NPI

Washougal School District

  • Local Education Agency (LEA)
  • Washougal, WA
National Provider Identifier
1699877837
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
WASHOUGAL SCHOOL DISTRICT
Practice address
4855 Evergreen Way
Washougal, WA 98671-9176
Phone
(360) 954-3022
Fax
(360) 835-5874
NPI assigned
Sep 1, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Joan Dengerink
Title
Director of Special Services
Phone
(360) 954-3020

Specialties & licenses 1

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

Addresses

Primary practice location

4855 Evergreen Way
Washougal, WA 98671-9176

Mailing address

4855 Evergreen Way
Washougal, WA 98671-9176
Phone (360) 954-3022

Other identifiers 1

IdentifierTypeStateIssuer
7442536MedicaidWA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D2227273Washougal School District 112-64855 Evergreen Way, Washougal, WA 98671Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

Locations

4855 Evergreen Way
Washougal, WA 98671
Phone (360) 852-7765

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699877837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4855 EVERGREEN WAY",
            "city": "WASHOUGAL",
            "state": "WA",
            "postal_code": "986719176",
            "telephone_number": "360-954-3022",
            "fax_number": "360-835-5874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4855 EVERGREEN WAY",
            "city": "WASHOUGAL",
            "state": "WA",
            "postal_code": "986719176",
            "telephone_number": "360-954-3022",
            "fax_number": "360-835-5874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHOUGAL SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DENGERINK",
        "authorized_official_first_name": "JOAN",
        "authorized_official_title_or_position": "DIRECTOR OF SPECIAL SERVICES",
        "authorized_official_telephone_number": "360-954-3020"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7442536",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washougal, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.