Organization Active NPI

Washington Elementary School District

  • Speech-Language Pathologist
  • Glendale, AZ
National Provider Identifier
1720112394
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
#SLPL 1397 Issued in AZ
Legal business name
WASHINGTON ELEMENTARY SCHOOL DISTRICT
Practice address
4602 W Sweetwater Ave
Glendale, AZ 85304-1505
Phone
(602) 896-6500
Fax
(602) 896-6520
NPI assigned
Mar 15, 2007
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
Craig Carter
Title
Director, Special Services
Phone
(602) 347-2642

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X #SLPL 1397 AZ Primary

Addresses

Primary practice location

4602 W Sweetwater Ave
Glendale, AZ 85304-1505

Mailing address

6545 W Robin LN
Glendale, AZ 85310-4282

National Provider Directory

National Provider Directory
Tax ID family
Washington Elementary School District8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4602 W Sweetwater Ave
Glendale, AZ 85304
Phone (602) 896-6500

Practitioners & affiliated clinicians

Practitioners 8

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

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720112394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6545 W ROBIN LN",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853104282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4602 W SWEETWATER AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853041505",
            "telephone_number": "602-896-6500",
            "fax_number": "602-896-6520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON ELEMENTARY SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "DIRECTOR, SPECIAL SERVICES",
        "authorized_official_telephone_number": "602-347-2642"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "#SLPL 1397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

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.