Active NPI
Washougal School District
- Local Education Agency (LEA)
- Washougal, WA
National Provider Identifier
1699877837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Local Education Agency (LEA)
- 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, 2020
- 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
- Joan Dengerink
- Title
- Director of Special Services
- Phone
- (360) 954-3020
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7442536 | Medicaid | WA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 50D2227273 | Washougal School District 112-6 | Certificate of waiver | Apr 4, 2028 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pediatric Occupational Therapist
- Washougal, WA
- NPI 1083964936
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
- Chih Wang
- Washougal Acupuncture and Massage, LLC (Washougal Acupuncture and Massage)
- Washougal Assisted Living, LLC (Columbia Ridge Assisted Living, LLC)
- Washougal Chiropractic Center, Inc
- Washougal Family Medicine, PS (Washougal Family Medicine)
- Washougal Sport and Spine, Inc.
- Amanda Weil, LMT
- Rebecca Wilkie, LMT
- Laurie C Witt-Myers, CCC-SLP
- Madeleine Marie Wolfe, COTA
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.