McCleary School District

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

MCCLEARY SCHOOL DISTRICT

Practice address

611 S Main St
McCleary, WA 98557-9524

Phone

(360) 495-3204

Fax

(360) 495-4589

NPI assigned

Sep 12, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Dan Bolender

Title

Superintendent

Phone

(360) 495-3204

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Melissa Johnson Smith, MS, SLP

  • Speech-Language Pathologist
  • McCleary, WA
  • NPI 1003580127
  NPD (past)

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760586473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 S MAIN ST",
            "city": "MCCLEARY",
            "state": "WA",
            "postal_code": "985579524",
            "telephone_number": "360-495-3204",
            "fax_number": "360-495-4589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 S MAIN ST",
            "city": "MCCLEARY",
            "state": "WA",
            "postal_code": "985579524",
            "telephone_number": "360-495-3204",
            "fax_number": "360-495-4589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCLEARY SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOLENDER",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "360-495-3204",
        "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": "7441678",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joel S Lancaster, RN
• Heidi Lencioni, LPN
• Joseph R Liberati
• Stephanie Logan
• Robert Paul Malinosky, LPN
• Travis Brady McGee
• Braedon McMillan
• Michael Joseph Miller
• Sabina Mishiyeva-Marino
• Heather R Moorcroft, RN

• Local Education Agency (LEA) in McCleary, WA
• Providers in McCleary, 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.