Organization Active NPI

Issaquah School District

  • Local Education Agency (LEA)
  • Issaquah, WA
National Provider Identifier
1841221934
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
ISSAQUAH SCHOOL DISTRICT
Practice address
565 NW Holly St
Issaquah, WA 98027-2834
Phone
(425) 837-7085
Fax
(425) 837-7188
NPI assigned
Jul 6, 2006
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. Marilyn K Holm
Title
Ed.D.
Phone
(425) 837-7085

Specialties & licenses 1

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

Addresses

Primary practice location

565 NW Holly St
Issaquah, WA 98027-2834

Mailing address

565 NW Holly St
Issaquah, WA 98027-2834
Phone (425) 837-7085

Other identifiers 1

IdentifierTypeStateIssuer
7441793MedicaidWA

National Provider Directory

National Provider Directory
Tax ID family
Lynden School District16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

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

View all 15

Locations

565 NW Holly St
Issaquah, WA 98027
Phone (425) 837-7000

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841221934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "565 NW HOLLY ST",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980272834",
            "telephone_number": "425-837-7085",
            "fax_number": "425-837-7188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "565 NW HOLLY ST",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980272834",
            "telephone_number": "425-837-7085",
            "fax_number": "425-837-7188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISSAQUAH SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOLM",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "ED.D.",
        "authorized_official_telephone_number": "425-837-7085",
        "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": "7441793",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Issaquah, 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.