EDUCATIONAL SERVICE DISTRICT 112 (NPI# 1982911079) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982911079 |
| Entity Type | Organization |
| Organization Name | EDUCATIONAL SERVICE DISTRICT 112 |
| Other Organization Name | ESD 112 INFANT & TODDLER EARLY DEVELOPMENT PROGRAM |
| Practice Address |
2500 Ne 65th Ave Vancouver WA 98661-6812 |
| Mailing Address |
2500 Ne 65 Ave Vancouver WA 98661-6812 |
| Practice Telephone | 3607507500 |
| Practice Fax Number | 3609061010 |
| Mailing Telephone | 3607507500 |
| Mailing Fax Number | 3609061010 |
| Enumeration Date | 2010-09-10 |
| Last Update Date | 2012-12-21 |
| Authorized Official Name | TIM MERLINO (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 3607507500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251300000X | Local Education Agency (LEA) | Agencies |
| Other Name | Type Code |
|---|---|
| ESD 112 Infant & Toddler Early Development Program | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962752956 | Educational Service District 112 | Local Education Agency (LEA) | 404 Balcer St Ne, Castle Rock, WA 98611-9647 | 2012-09-17 |
| 1790008928 | Educational Service District 112 | Local Education Agency (LEA) | 2500 Ne 65 Avenue, Vancouver, WA 98661-6812 | 2010-03-02 |
| 1013249028 | Educational Service District 112 | Local Education Agency (LEA) | 2500 Ne 65th Ave, Vancouver, WA 98661-6812 | 2010-02-02 |
| 1922238526 | Educational Service District 112 | Local Education Agency (LEA) | 2500 Ne 65th Ave, Vancouver, WA 98661-6812 | 2009-07-17 |
| 1669628293 | Educational Service District 112 | Local Education Agency (LEA) | 2500 Ne 65th Ave, Vancouver, WA 98661-6812 | 2008-08-14 |
| Street Address |
2500 NE 65TH AVE |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98661-6812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952469074 | Jill A Layman | Physical Therapist | 2500 Ne 65th Ave, Vancouver, WA 98661 | 2006-12-04 |
| 1932708237 | Alexandra Brucculeri | Speech-Language Pathologist | 2500 Ne 65th Ave, Vancouver, WA 98661-6812 | 2020-10-19 |
| 1972114304 | Adele Theresa Woods | Counselor | 2500 Ne 65th Ave, Vancouver, WA 98661-6812 | 2020-08-10 |
| 1053971556 | Levi John Vantol | Physical Therapist | 2500 Ne 65th Ave, Vancouver, WA 98661-6812 | 2019-06-17 |
| 1952885725 | Leala Logan | Physical Therapist | 2500 Ne 65th Ave, Vancouver, WA 98661-6812 | 2018-09-18 |
| 1417473604 | Elizabeth M Keeler | Physical Therapist | 2500 Ne 65th Ave, Vancouver, WA 98661-6812 | 2017-08-18 |
| 1346764966 | Sara Schaaf | Speech-Language Pathologist | 2500 Ne 65th Ave, Vancouver, WA 98661-6812 | 2017-07-26 |
| 1366996894 | Anna Waller | Speech-Language Pathologist | 2500 Ne 65th Ave, Vancouver, WA 98661-6812 | 2016-08-12 |
| 1699130898 | Kayla Head | Speech-Language Pathologist | 2500 Ne 65th Ave, Vancouver, WA 98661-6812 | 2015-12-15 |
| 1083004196 | Darcy Annabelle-basque Santero | Speech-Language Pathologist | 2500 Ne 65th Ave, Vancouver, WA 98661-6812 | 2015-01-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982228417 | Cynthia Ann Holt | Social Worker | 4608 Ne 47 Street, Vancouver, WA 98661 | 2020-06-01 |
| 1235793027 | James Dostert | Counselor | 1601 E 4th Blvd. Bldg. 17, Ste A212, Vancouver, WA 98661 | 2019-04-26 |
| 1306305289 | Kathryn Susanne Scott | Social Worker | Attn: Kathryn Scott, V3cnh, 1601 E. Fourth Plain Blvd., Vancouver, WA 98661 | 2019-03-19 |
| 1952860637 | Alice Rogers | Occupational Therapist | Vancouver Public Schools, 2901 Falk Rd., Vancouver, WA 98661 | 2019-03-13 |
| 1053878538 | Paula Moore | Counselor | 9626 Ne Fourth Plain Blvd, Vancouver, WA 98661 | 2019-02-21 |
| 1558825729 | Cassandra Marie Nichols | Counselor | 1601 E 4th Blvd, Vancouver, WA 98661 | 2019-01-22 |
| 1548734148 | Lisa Kelly | Counselor | 1601 E 4th Blvd., Vancouver, WA 98661 | 2019-01-16 |
| 1518444025 | Columbia Pharmacy | Pharmacy | 2700 Ne Andresen Rd Ste E3, Vancouver, WA 98661 | 2018-07-26 |
| 1023505229 | Ellen Barbour | Counselor | 1601 E 4th Plain Blvd Bldg. 17, Ste A212, Vancouver, WA 98661 | 2018-04-13 |
| 1679096325 | Brian Scott Coleman | Counselor | 1601 East Fourth Plain Blvd., Bldg #17, Ste. A212, Vancouver, WA 98661 | 2017-07-24 |
| Find all providers in zip 98661 | ||||
| Taxonomy Code | 251300000X |
| Grouping | Agencies |
| Classification | Local Education Agency (LEA) |
| The term local education agency means a public board of education or other public authority legally constituted within a State to either provide administrative control or direction of, or perform a service function for public schools serving individuals ages 0 - 21 in a state, city, county, township, school district, or other political subdivision including a combination of school districts or counties recognized in a State as an administrative agency for its public schools. An LEA may provide, or employ professional who provide, services to children included in the Individuals with Disabilities Education Act (IDEA), such services may include, but are not limited to, such medical services as physical, occupational, and speech therapy. |
| Notes: Source: Portions of IDEA Regulations Part B (34 CFR Part 300.18, Assistance to States for the Education of Children with Disabilities) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790008928 | Educational Service District 112 | Local Education Agency (LEA) | 2500 Ne 65 Avenue, Vancouver, WA 98661-6812 | 2010-03-02 |
| 1245311141 | Evergreen School District Vancouver 114 | Local Education Agency (LEA) | 14619 Ne 49th St Ste B, Vancouver, WA 98682-6486 | 2006-10-18 |
| 1629172374 | School for The Deaf | Local Education Agency (LEA) | 611 Grand Blvd, Vancouver, WA 98661-4918 | 2006-09-12 |
| 1013021971 | Vancouver School District | Local Education Agency (LEA) | 2901 Falk Rd, Vancouver, WA 98661-5683 | 2006-08-18 |
| 1760596571 | State of Wash - State School for The Blind | Local Education Agency (LEA) | 2214 East 13th Street, Vancouver, WA 98661 | 2006-08-18 |
| 1518593391 | Acute Care Education | Local Education Agency (LEA) | 7200 Ne 41st St Ste 206, Vancouver, WA 98662-6778 | 2020-03-12 |
| 1013249028 | Educational Service District 112 | Local Education Agency (LEA) | 2500 Ne 65th Ave, Vancouver, WA 98661-6812 | 2010-02-02 |
| 1922238526 | Educational Service District 112 | Local Education Agency (LEA) | 2500 Ne 65th Ave, Vancouver, WA 98661-6812 | 2009-07-17 |
| 1669628293 | Educational Service District 112 | Local Education Agency (LEA) | 2500 Ne 65th Ave, Vancouver, WA 98661-6812 | 2008-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346890571 | Damman School District No. 007 | Local Education Agency (LEA) | 2681 Umptanum Rd, Ellensburg, WA 98926-8362 | 2019-09-19 |
| 1962066415 | Seattle Colleges | Local Education Agency (LEA) | Mainstay At Seattle Central College, 1701 Broadway Ms Be3210, Seattle, WA 98122 | 2019-04-30 |
| 1891220216 | Pacific Northwest University of Health Sciences | Local Education Agency (LEA) | 214 Rachel Rd, Kennewick, WA 99338-7333 | 2017-04-24 |
| 1811378714 | Excel Public Charter School | Local Education Agency (LEA) | 19300 108th Ave Se, Kent, WA 98031-0146 | 2015-06-16 |
| 1619360104 | Pride Prep Schools | Local Education Agency (LEA) | 811 E Sprague Ave Ste A, Spokane, WA 99202-2105 | 2015-03-09 |
| 1356733323 | Spokane International Academy | Local Education Agency (LEA) | 2706 E Queen Ave, Spokane, WA 99217-6142 | 2015-02-26 |
| 1790185791 | Spokane International Academy | Local Education Agency (LEA) | 18020 N Redowa Dr, Colbert, WA 99005-9342 | 2014-08-26 |
| 1689073082 | Developmental Occupational Therapy Services | Local Education Agency (LEA) | 12523 Morris Rd Se, Yelm, WA 98597-9201 | 2014-08-21 |
| 1407255094 | First Place Family Services | Local Education Agency (LEA) | 172 20th Ave, Seattle, WA 98122-5862 | 2014-08-19 |
| 1427467257 | Soar Academies | Local Education Agency (LEA) | 210 S Hudson, Seattle, WA 98134 | 2014-08-06 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on EDUCATIONAL SERVICE DISTRICT 112.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.