Southside Elementary Charter School

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

SOUTHSIDE ELEMENTARY CHARTER SCHOOL

Practice address

135 Prairie Ave
Providence, RI 02905-2413

Phone

(401) 270-9007

NPI assigned

Jun 8, 2016

Organization subpart

No

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

Authorized official

Name

Lourdes De Jesus

Title

Business Manager

Phone

(401) 270-9007

Specialties & licenses 1

Addresses

Tax ID family

Southside Elementary Charter School2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Southside Elementary Charter School

  • Local Education Agency (LEA)
  • Providence, RI
  • NPI 1639566987
  NPD tax ID

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

{
    "created_epoch": "1465344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758499200000",
    "number": "1891144176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 PRAIRIE AVE",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029052413",
            "telephone_number": "401-270-9007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 PRAIRIE AVE",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029052413",
            "telephone_number": "401-270-9007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHSIDE ELEMENTARY CHARTER SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-08",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A",
        "authorized_official_last_name": "DE JESUS",
        "authorized_official_first_name": "LOURDES",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "401-270-9007"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy M Sousa, LCSW
• Southcoast Psychology,Inc
• Southern New England Healthcare for Women
• Southern New England Retina Associates, PC
• Southside Elementary Charter School
• Southside Perinatal
• Levon Souvalian, MD
• Joan A Souza, MSW LICSW
• Kelly Ann Souza
• Monica Katharine Souza, PA-C

• Local Education Agency (LEA) in Providence, RI
• Providers in Providence, RI by specialty
• Local Education Agency (LEA) in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; 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.