Kipp Academy Lynn

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

KIPP ACADEMY LYNN

Practice address

25 Bessom Street
Lynn, MA 01902

Phone

(781) 598-1609

Fax

(781) 598-1639

NPI assigned

May 1, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Eileen Riley

Title

Business Manager

Phone

(781) 598-8013

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114148145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 BESSOM STREET",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "01902",
            "telephone_number": "781-598-1609",
            "fax_number": "781-598-1639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 BESSOM STREET",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "01902",
            "telephone_number": "781-598-1609",
            "fax_number": "781-598-1639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIPP ACADEMY LYNN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RILEY",
        "authorized_official_first_name": "EILEEN",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "781-598-8013"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1957341",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mackenzi Kim
• Laura Kristin Kincaid, LCSW
• Karla M Kinehan, MS, CCC/SLP
• Sarah Kingston, PA-C
• Susan Kingston, LICSW
• Edwin K Kiptoo, OTA
• Kathleen Kirby, FP
• Apollo Gulemye Kironde
• Dena Ann Kivett
• Brittney Kleinfelter

• Local Education Agency (LEA) in Lynn, MA
• Providers in Lynn, MA by specialty
• Local Education Agency (LEA) in Massachusetts

• 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.