Provider Demographics
NPI:1487084109
Name:SEATTLE PUBLIC SCHOOLS
Entity type:Organization
Organization Name:SEATTLE PUBLIC SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER- STUDENT HEALTH SVCS
Authorized Official - Prefix:
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-252-0752
Mailing Address - Street 1:2445 3RD AVE S
Mailing Address - Street 2:SMAIL STOP: 31-650
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98134-1923
Mailing Address - Country:US
Mailing Address - Phone:206-252-0752
Mailing Address - Fax:206-252-0751
Practice Address - Street 1:2445 3RD AVE S
Practice Address - Street 2:SMAIL STOP: 31-650
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98134-1923
Practice Address - Country:US
Practice Address - Phone:206-252-0752
Practice Address - Fax:206-252-0751
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-15
Last Update Date:2013-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN.0080165251J00000X
163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WS0200XNursing Service ProvidersRegistered NurseSchoolGroup - Multi-Specialty
No251J00000XAgenciesNursing CareGroup - Multi-Specialty