Active NPI
Kipp Indianapolis, Inc
- Local Education Agency (LEA)
- Indianapolis, IN
National Provider Identifier
1871913996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Local Education Agency (LEA)
- Legal business name
- KIPP INDIANAPOLIS, INC
- Doing business as
- KIPP Indianapolis College Preparatory
KIPP Indy College Prep Middle
KIPP Indy Legacy High - Practice address
- 1740 E 30TH St
Indianapolis, IN 46218-2605 - Phone
- (317) 775-3929
- Fax
- (317) 547-5499
- NPI assigned
- Apr 17, 2014
- Organization subpart
- Yes
- Parent organization
- KIPP INDIANAPOLIS, INC
NPPES NPI Registry
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Local Education Agency (LEA) | 251300000X | Primary |
Addresses
Primary practice location
1740 E 30TH St
Indianapolis, IN 46218-2605
Mailing address
1740 E 30TH St
Indianapolis, IN 46218-2605
Phone (317) 775-3929
Other practice location 1
2255 Ralston Ave
Indianapolis, IN 46218-3444
Phone (317) 775-3929
Other names 4
- KIPP Indianapolis College Preparatory
- KIPP Indy College Prep Middle
- KIPP Indy Legacy High
- KIPP Indy Unite Elementary
National Provider Directory
National Provider Directory- Tax ID family
- Kipp Indianapolis Inc
- Part of
- Kipp Indianapolis Inc
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Local Education Agency (LEA)
- Indianapolis, IN
- NPI 1053095505
-
- School Nurse Practitioner
- Indianapolis, IN
- NPI 1538967138
-
- Local Education Agency (LEA)
- Indianapolis, IN
- NPI 1760166219
-
- Local Education Agency (LEA)
- Indianapolis, IN
- NPI 1851075303
Locations
3202 E 42nd St
Indianapolis, IN 46205
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397692800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1685491200000",
"number": "1871913996",
"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",
"telephone_number": "317-775-3929",
"fax_number": "317-547-5499"
},
{
"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": "317-775-3929",
"fax_number": "317-547-5499"
}
],
"practiceLocations": [
{
"address_1": "2255 Ralston Ave",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462183444",
"country_code": "US",
"telephone_number": "317-775-3929",
"fax_number": "317-547-5477",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "KIPP INDIANAPOLIS, INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "KIPP INDIANAPOLIS, INC",
"enumeration_date": "2014-04-17",
"last_updated": "2023-05-31",
"certification_date": "2023-05-31",
"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": "251300000X",
"taxonomy_group": "",
"desc": "Local Education Agency (LEA)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "KIPP Indianapolis College Preparatory",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "KIPP Indy College Prep Middle",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "KIPP Indy Legacy High",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "KIPP Indy Unite Elementary",
"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 May 31, 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.