South Bend School District

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

SOUTH BEND SCHOOL DISTRICT

Practice address

400 East First Street
South Bend, WA 98586

Phone

(360) 875-5707

Fax

(360) 875-6036

NPI assigned

Aug 5, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Mike Morris

Title

Superintendent

Phone

(360) 875-6041

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Stacey Webber Villanueva

  • Clinical Psychologist
  • Newport News, VA
  • NPI 1518472760
  NPD (past)

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740299205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 EAST FIRST STREET",
            "address_2": "PO BOX 437",
            "city": "SOUTH BEND",
            "state": "WA",
            "postal_code": "98586",
            "telephone_number": "360-875-5707",
            "fax_number": "360-875-6036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 EAST FIRST STREET",
            "city": "SOUTH BEND",
            "state": "WA",
            "postal_code": "98586",
            "telephone_number": "360-875-5707",
            "fax_number": "360-875-6036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH BEND SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "360-875-6041",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7441967",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ruby Behavior Consulting, LLC
• Ruby Behavioral Consulting, LLC
• Danielle Russell, PTA
• Ramona Shatraw
• Debra D Slapper, MD
• Anne Elizabeth Townsend, L.D.
• Vitality Massage
• Washington Physical Therapy
• Willapa Family Medicine PS
• Willapa Harbor Pharmacies Inc

• Local Education Agency (LEA) in South Bend, WA
• Providers in South Bend, WA by specialty
• Local Education Agency (LEA) in Washington

• 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.