Kipp Charlotte

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

KIPP CHARLOTTE

Practice address

931 Wilann Dr
Charlotte, NC 28215-2147

Phone

(704) 537-2855

NPI assigned

Jun 6, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. Jamie Blackwell-Jackson

Title

Senior Accountant

Phone

(980) 216-9203

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1686009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692057600000",
    "number": "1568156255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 WILANN DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282152147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 WILANN DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282152147",
            "telephone_number": "704-537-2855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIPP CHARLOTTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-06",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A",
        "authorized_official_last_name": "BLACKWELL-JACKSON",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "SENIOR ACCOUNTANT",
        "authorized_official_telephone_number": "980-216-9203",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam James Kinzel, M.D.
• Alexandria Nicole Kinzel, PA-C
• Eva Marie Kinzer, FNP
• Carmen Elizbeth Kiper, MD
• Robert Kipnis, MD
• Jennifer Ashley Kipp
• Rebba Kipp, PT, DPT
• Kyle Alexander Kipping, PT, DPT
• Ashley Kippins, CCC-SLP
• Carson Kirby

• Local Education Agency (LEA) in Charlotte, NC
• Providers in Charlotte, 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 Aug 15, 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.