Kipp Philadelphia Charter School

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

KIPP PHILADELPHIA CHARTER SCHOOL

Practice address

2709 N Broad St
4TH Floor
Philadelphia, PA 19132-2722

Phone

(215) 852-1532

NPI assigned

Aug 28, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Marc P Mannella, MA

Title

Ceo

Phone

(215) 227-1728

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1219881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219881600000",
    "number": "1740438100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2709 N BROAD ST",
            "address_2": "4TH FLOOR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191322722",
            "telephone_number": "215-852-1532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2709 N BROAD ST",
            "address_2": "4TH FLOOR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191322722",
            "telephone_number": "215-852-1532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIPP PHILADELPHIA CHARTER SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-28",
        "last_updated": "2008-08-28",
        "status": "A",
        "authorized_official_last_name": "MANNELLA",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "215-227-1728",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• 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 Aug 28, 2008; 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.