Kipp Enc

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

KIPP ENC

Practice address

320 Pleasant Hill Rd
Gaston, NC 27832-9511

Phone

(252) 308-6932

NPI assigned

Jun 6, 2023

Last updated

Jun 6, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jamie Blackwell-Jackson

Title

Senior Accountant

Phone

(252) 308-6932

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1686009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686009600000",
    "number": "1265126957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 PLEASANT HILL RD",
            "city": "GASTON",
            "state": "NC",
            "postal_code": "278329511",
            "telephone_number": "252-308-6932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 PLEASANT HILL RD",
            "city": "GASTON",
            "state": "NC",
            "postal_code": "278329511",
            "telephone_number": "252-308-6932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIPP ENC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-06",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A",
        "authorized_official_last_name": "BLACKWELL-JACKSON",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "SENIOR ACCOUNTANT",
        "authorized_official_telephone_number": "252-308-6932"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Local Education Agency (LEA) in Gaston, NC
• Providers in Gaston, NC by specialty
• Local Education Agency (LEA) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2023; 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.