Active NPI
Kipp Indianapolis, Inc
Doing business as KIPP Indy Public Schools
- School Nurse Practitioner
- Indianapolis, IN
National Provider Identifier
1538967138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Nurse Practitioner
- Legal business name
- KIPP INDIANAPOLIS, INC
- Doing business as
- KIPP Indy Public Schools
- Practice address
- 1740 E 30TH St
Indianapolis, IN 46218-2605 - Phone
- (317) 547-5477
- NPI assigned
- Mar 7, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brittany Lennon
- Title
- Sr Director of Business Operations
- Phone
- (317) 775-3929
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | |||
| School Nurse Practitioner | 363LS0200X | Primary |
Addresses
Primary practice location
1740 E 30TH St
Indianapolis, IN 46218-2605
Mailing address
1740 E 30TH St
Indianapolis, IN 46218-2605
Other practice location 1
2255 Ralston Ave
Indianapolis, IN 46218-3444
Phone (517) 549-5499
Other names 1
- KIPP Indy Public Schools
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 15D2316450 | Kipp Indy Public Schools | Certificate of waiver | Jan 5, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Kipp Indianapolis Inc
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
dba KIPP Indy Legacy High
- Local Education Agency (LEA)
- Indianapolis, IN
- NPI 1053095505
-
dba KIPP Indy College Prep Middle
- Local Education Agency (LEA)
- Indianapolis, IN
- NPI 1760166219
-
dba KIPP Indy Unite Elementary
- Local Education Agency (LEA)
- Indianapolis, IN
- NPI 1851075303
-
dba KIPP Indianapolis College Preparatory
- Local Education Agency (LEA)
- Indianapolis, IN
- NPI 1871913996
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741305600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1767830400000",
"number": "1538967138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1740 E 30TH ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462182605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1740 E 30TH ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462182605",
"telephone_number": "317-547-5477"
}
],
"practiceLocations": [
{
"address_1": "2255 Ralston Ave",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462183444",
"country_code": "US",
"telephone_number": "517-549-5499",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "KIPP INDIANAPOLIS, INC",
"organizational_subpart": "NO",
"enumeration_date": "2025-03-07",
"last_updated": "2026-01-08",
"certification_date": "2026-01-08",
"status": "A",
"authorized_official_last_name": "LENNON",
"authorized_official_first_name": "BRITTANY",
"authorized_official_title_or_position": "SR DIRECTOR OF BUSINESS OPERATIONS",
"authorized_official_telephone_number": "317-775-3929"
},
"taxonomies": [
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LS0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, School",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "KIPP Indy Public Schools",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Indianapolis, IN
- Kristine Marie Kious, OTR
- Richard Dean Kiovsky, M.D.
- Hal D Kipfer, MD
- Isaac Kipfer
- Kipp Indianapolis, Inc (KIPP Indy Legacy High)
- Kipp Indianapolis, Inc (KIPP Indy College Prep Middle)
- Kipp Indianapolis, Inc (KIPP Indy Unite Elementary)
- Kipp Indianapolis, Inc (KIPP Indianapolis College Preparatory)
- Jason Edward Kippenbrock, MD
- Richard Kiptoo
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.