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IMPACT PUBLIC SCHOOLS
NPI 1164149373
Local Education Agency (LEA) in Tukwila, WA

Active since October 27, 2022CLIA 50D2253249 · Waiver
3438 S 148TH ST, TUKWILA, WA 98168(206) 712-7640 Get Directions Write a Review

NPPES record last updated: October 27, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Impact Public Schools NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IMPACT PUBLIC SCHOOLS (NPI 1164149373), doing business as Impact Commencement Bay Elementary, is a healthcare organization registered as a local education agency (lea) in Tukwila, Washington and active in the NPI registry since October 2022. The organization holds a CLIA Waiver certificate valid through April 4, 2028, maintains 2 additional practice locations, and lists Zhe Liao, Cfo, as its authorized official.

NPPES Registry Identity

NPI1164149373
Entity TypeOrganization
Primary Taxonomy251300000X
Legal Business NameIMPACT PUBLIC SCHOOLS
Location Address3438 S 148TH STTukwila, WA 98168-4319
Mailing Address3438 S 148th StTukwila, WA 98168-4319
Phone(206) 712-7640
Organization SubpartNo
Authorized OfficialZhe LiaoCfo · (206) 712-7640
Enumeration DateOctober 27, 2022
NPPES CertifiedOctober 27, 2022
✔ NPI 1164149373 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLocal Education Agency (LEA)Agencies
Taxonomy Code251300000X
Definition
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.
3438 S 148TH ST, Tukwila, WA 98168
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Other Names 3

Doing Business AsImpact Commencement Bay Elementary
Doing Business AsImpact Puget Sound Elementary
Doing Business AsImpact Salish Sea Elementary

Secondary Practice Locations 2

Location 11301 E 34th StTacoma, WA 98404-3906 · Phone (206) 712-7640
Location 23900 S Holly Park DrSeattle, WA 98118-3757 · Phone (206) 712-7640

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 50D2253249

Impact Public Schools · Tukwila, WA
Active · expires Apr 4, 2028
CLIA Number50D2253249
Laboratory TypeSchool/Student Health Service
Certificate Effective DateFebruary 18, 2022
Certificate Expiration DateApril 4, 2028
Laboratory DirectorAlex Horowitz
Laboratory Phone(206) 712-7640
Laboratory LocationImpact Public Schools3438 S 148th St, Tukwila, WA 98168
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALLISON STEINBERG
Counselor
3438 S 148TH ST
TUKWILA, WA 98168
King County (206) 948-0096
KIERSTIN JOANN BROWN
Counselor
3438 S 148TH ST
TUKWILA, WA 98168
King County (206) 832-8518
GABRIELA ZUMAETA SANTIAGO
Counselor
3438 S 148TH ST
TUKWILA, WA 98168
King County (206) 832-8518
YONAS GOITOM FIKAK
Counselor
3438 S 148TH ST
TUKWILA, WA 98168
King County (206) 948-0096
TRAVIS BOLLOS VOBORIL
Counselor
3438 S 148TH ST
TUKWILA, WA 98168
King County (206) 832-8518
KRYSTEN ALIECE BAILEY
Social Worker (Clinical)
3438 S 148TH ST
TUKWILA, WA 98168
King County (206) 490-0865
ITALIA CRICHTON
Counselor
3438 S 148TH ST
TUKWILA, WA 98168
King County (206) 832-8518
CHRISTIAN ISAAC QUINTANAR
Social Worker (Clinical)
3438 S 148TH ST
TUKWILA, WA 98168
King County (206) 490-0865

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Impact Public Schools's NPI number?

The NPI number for Impact Public Schools is 1164149373. It was assigned to this organization in the NPPES registry on October 27, 2022. The provider is doing business as Impact Commencement Bay Elementary, Impact Puget Sound Elementary and Impact Salish Sea Elementary.

Where is Impact Public Schools located?

Impact Public Schools is located at 3438 S 148th St, Tukwila, WA 98168. The listed phone number is (206) 712-7640.

What is Impact Public Schools's specialty?

The primary specialty registered for this NPI is Local Education Agency (LEA) with taxonomy code 251300000X.

Does Impact Public Schools hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2253249) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Impact Public Schools was last updated on October 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.