Organization Active NPI

Endicott School District

  • Local Education Agency (LEA)
  • Endicott, WA
National Provider Identifier
1902997190
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
ENDICOTT SCHOOL DISTRICT
Practice address
308 School Dr
Endicott, WA 99125-8734
Phone
(509) 657-3523
Fax
(509) 657-3521
NPI assigned
Sep 27, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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. Melissa Repp
Title
Special Education
Phone
(509) 657-3523

Specialties & licenses 1

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

Addresses

Primary practice location

308 School Dr
Endicott, WA 99125-8734

Mailing address

308 School Dr
Endicott, WA 99125-8734
Phone (509) 657-3523

Other identifiers 1

IdentifierTypeStateIssuer
7442098MedicaidWA

National Provider Directory

National Provider Directory

Locations

308 School Dr
Endicott, WA 99125
Phone (509) 657-3523

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902997190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 SCHOOL DR",
            "city": "ENDICOTT",
            "state": "WA",
            "postal_code": "991258734",
            "telephone_number": "509-657-3523",
            "fax_number": "509-657-3521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 SCHOOL DR",
            "city": "ENDICOTT",
            "state": "WA",
            "postal_code": "991258734",
            "telephone_number": "509-657-3523",
            "fax_number": "509-657-3521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDICOTT SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REPP",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "SPECIAL EDUCATION",
        "authorized_official_telephone_number": "509-657-3523",
        "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": "7442098",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Endicott, 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.