Organization Active NPI

Kipp DC Inc.

  • Public Health or Welfare Agency
  • Washington, DC
National Provider Identifier
1396121992
Registry record updated Aug 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
License
OT010000986 Issued in DC
Legal business name
KIPP DC INC.
Practice address
1375 Mount Olivet Rd NE
Room 129
Washington, DC 20002-2509
Phone
(202) 398-5477
NPI assigned
Aug 5, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2015

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

Authorized official

Name
Susan Schaeffler
Title
Founder and Ceo
Phone
(202) 265-5477

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X OT010000986 DC Primary

Addresses

Primary practice location

1375 Mount Olivet Rd NE
Room 129
Washington, DC 20002-2509

Mailing address

1003 K St NW
#700
Washington, DC 20001-4425
Phone (202) 265-5477

National Provider Directory

National Provider Directory
Tax ID family
Kipp DC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1375 Mount Olivet Rd NE
Rm 129
Washington, DC 20002
Phone (202) 398-5477

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1438732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438732800000",
    "number": "1396121992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 K ST NW",
            "address_2": "#700",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200014425",
            "telephone_number": "202-265-5477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1375 MOUNT OLIVET RD NE",
            "address_2": "ROOM 129",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200022509",
            "telephone_number": "202-398-5477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIPP DC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-05",
        "last_updated": "2015-08-05",
        "status": "A",
        "authorized_official_last_name": "SCHAEFFLER",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "FOUNDER AND CEO",
        "authorized_official_telephone_number": "202-265-5477"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "DC",
            "license": "OT010000986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2015; 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.