NPIMap

Organization Active NPI

Paterson School District

  • Local Education Agency (LEA)
  • Paterson, WA
National Provider Identifier
1700959046
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
PATERSON SCHOOL DISTRICT
Practice address
51409 W Pryor Rd.
Paterson, WA 99345
Phone
(509) 875-2601
NPI assigned
Nov 16, 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
Mrs. Peggy S Douglas
Title
Superintendent
Phone
(509) 875-2601

Specialties & licenses 1

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

Addresses

Primary practice location

51409 W Pryor Rd.
Paterson, WA 99345

Mailing address

51409 W Pryor Rd.
PO Box 189
Paterson, WA 99345
Phone (509) 875-2601

Other identifiers 1

IdentifierTypeStateIssuer
7442692MedicaidWA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700959046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51409 W PRYOR RD.",
            "address_2": "PO BOX 189",
            "city": "PATERSON",
            "state": "WA",
            "postal_code": "99345",
            "telephone_number": "509-875-2601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51409 W PRYOR RD.",
            "city": "PATERSON",
            "state": "WA",
            "postal_code": "99345",
            "telephone_number": "509-875-2601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATERSON SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DOUGLAS",
        "authorized_official_first_name": "PEGGY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "509-875-2601",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7442692",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paterson, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.