Statesmen College Preparatory Academy for Boys

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

STATESMEN COLLEGE PREPARATORY ACADEMY FOR BOYS

Practice address

4600 Livingston Rd SE
Washington, DC 20032-3136

Phone

(202) 832-2310

NPI assigned

May 31, 2022

Last updated

May 31, 2022By 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

Ashlei Porter

Title

Coordinator of Student Support

Phone

(202) 830-2310

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1653955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653955200000",
    "number": "1770222606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 LIVINGSTON RD SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200323136",
            "telephone_number": "202-832-2310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 LIVINGSTON RD SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200323136",
            "telephone_number": "202-832-2310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATESMEN COLLEGE PREPARATORY ACADEMY FOR BOYS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-31",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "ASHLEI",
        "authorized_official_title_or_position": "COORDINATOR OF STUDENT SUPPORT",
        "authorized_official_telephone_number": "202-830-2310"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Stephen Stasko, M.D.
• Katelyn Staso, CPNP-AC
• Kiril Stasovskyi
• Statera Spring Valley LLC (Fyzical Therapy and Balance Center)
• Campbell States, LICSW
• Andre Staton
• Brittany Lenay Staton
• Jazzmine Staton
• Loretta Staudt
• Karalyn Stauffer

• Local Education Agency (LEA) in Washington, DC
• Providers in Washington, DC by specialty
• Local Education Agency (LEA) in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; 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.