Organization Active NPI

Kipp Tulsa College Preparatory

  • Speech-Language Pathologist
  • Tulsa, OK
National Provider Identifier
1801156484
Registry record updated May 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
KIPP TULSA COLLEGE PREPARATORY
Practice address
1661 E Virgin St
Tulsa, OK 74106-5552
Phone
(918) 925-1580
Fax
(918) 325-1590
NPI assigned
May 17, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2012

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

Authorized official

Name
Mr. John Wolfkill
Title
Executive Director
Phone
(918) 925-1599

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

1661 E Virgin St
Tulsa, OK 74106-5552

Mailing address

1661 E Virgin St
Tulsa, OK 74106-5552
Phone (918) 925-1580

National Provider Directory

National Provider Directory

Locations

1661 E Virgin St
Tulsa, OK 74106
Phone (918) 925-1580

NPI Registry JSON

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

{
    "created_epoch": "1337212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337212800000",
    "number": "1801156484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1661 E VIRGIN ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741065552",
            "telephone_number": "918-925-1580",
            "fax_number": "918-325-1590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1661 E VIRGIN ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741065552",
            "telephone_number": "918-925-1580",
            "fax_number": "918-325-1590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIPP TULSA COLLEGE PREPARATORY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-17",
        "last_updated": "2012-05-17",
        "status": "A",
        "authorized_official_last_name": "WOLFKILL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "918-925-1599",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2012; 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.