Kipp West Philadelphia Charter School

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

KIPP WEST PHILADELPHIA CHARTER SCHOOL

Practice address

5900 Baltimore Ave
1St Floor
Philadelphia, PA 19143-3129

Phone

(267) 787-5700

Fax

(267) 787-5711

NPI assigned

Dec 9, 2016

Organization subpart

No

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

Authorized official

Name

Diana Filo

Title

Ceo

Phone

(215) 901-6248

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1481241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481241600000",
    "number": "1285178293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 BALTIMORE AVE",
            "address_2": "1ST FLOOR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191433129",
            "telephone_number": "267-787-5700",
            "fax_number": "267-787-5711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 BALTIMORE AVE",
            "address_2": "1ST FLOOR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191433129",
            "telephone_number": "267-787-5700",
            "fax_number": "267-787-5711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIPP WEST PHILADELPHIA CHARTER SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-09",
        "last_updated": "2016-12-09",
        "status": "A",
        "authorized_official_last_name": "FILO",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "215-901-6248"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Stephen Kinson Jr., MD
• Natalia Kiperman, AUD., CCC-A
• Carie Kipnis, LCSW
• Kipp Dubois Charter School
• Kipp Philadelphia Charter School
• Kipp West Philadelphia Prep Charter School
• Kristina Marie Kipp, PHARM.D.
• Akshatha Kiran, MD
• Tiana Kirby Johnson
• Brian Kirby, MSPT

• Local Education Agency (LEA) in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Local Education Agency (LEA) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2016; 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.