NPIMap

Organization Active NPI

Lakewood School District

  • Local Education Agency (LEA)
  • North Lakewood, WA
National Provider Identifier
1972698546
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
LAKEWOOD SCHOOL DISTRICT
Practice address
17110 16TH Drive NE
North Lakewood, WA 98259-0220
Phone
(360) 652-4500
Fax
(360) 654-2036
NPI assigned
Oct 3, 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
Dr. Dennis Haddock
Title
Director of Special Services
Phone
(360) 652-4500

Specialties & licenses 1

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

Addresses

Primary practice location

17110 16TH Drive NE
North Lakewood, WA 98259-0220

Mailing address

PO Box 220
17110 16TH Drive NE
North Lakewood, WA 98259-0220
Phone (360) 652-4500

Other identifiers 1

IdentifierTypeStateIssuer
7441959MedicaidWA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972698546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 220",
            "address_2": "17110 16TH DRIVE NE",
            "city": "NORTH LAKEWOOD",
            "state": "WA",
            "postal_code": "982590220",
            "telephone_number": "360-652-4500",
            "fax_number": "360-654-2036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17110 16TH DRIVE NE",
            "city": "NORTH LAKEWOOD",
            "state": "WA",
            "postal_code": "982590220",
            "telephone_number": "360-652-4500",
            "fax_number": "360-654-2036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEWOOD SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HADDOCK",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "DIRECTOR OF SPECIAL SERVICES",
        "authorized_official_telephone_number": "360-652-4500",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7441959",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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.