Organization Active NPI

Kipp Indianapolis, Inc

Doing business as KIPP Indy Public Schools

  • School Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1538967138
Registry record updated Jan 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Nurse PractitionerTaxonomy code 363LS0200X
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

Updated by the provider on Jan 8, 2026

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)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X
School Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D2316450Kipp Indy Public Schools1740 E 30TH Street, Indianapolis, IN 46218Certificate of waiverJan 5, 2027

National Provider Directory

National Provider Directory
Tax ID family
Kipp Indianapolis Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

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

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.

Verify at the official NPI Registry.