Organization Active NPI

Kipp Miami Inc

  • Local Education Agency (LEA)
  • Miami, FL
National Provider Identifier
1790543098
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
KIPP MIAMI INC
Practice address
3000 NW 110TH St
Miami, FL 33167-3707
Phone
(786) 822-7702
NPI assigned
Mar 11, 2024
Last updated
Mar 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2024

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

Authorized official

Name
Jaclyn Valdes
Title
Director of Ese
Phone
(305) 989-4454

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X NU Primary

Addresses

Primary practice location

3000 NW 110TH St
Miami, FL 33167-3707

Mailing address

60 Park PL Ste 802
Newark, NJ 07102-5508

National Provider Directory

National Provider Directory

Locations

3000 NW 110th St
Miami, FL 33167
Phone (786) 822-7702

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1710115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710115200000",
    "number": "1790543098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 PARK PL STE 802",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071025508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 NW 110TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331673707",
            "telephone_number": "786-822-7702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIPP MIAMI INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-11",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A",
        "authorized_official_last_name": "VALDES",
        "authorized_official_first_name": "JACLYN",
        "authorized_official_title_or_position": "DIRECTOR OF ESE",
        "authorized_official_telephone_number": "305-989-4454"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; 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.