Kipp West Philadelphia Prep Charter School

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

KIPP WEST PHILADELPHIA PREP CHARTER SCHOOL

Practice address

5900 Baltimore Ave
2ND Floor
Philadelphia, PA 19143-3129

Phone

(215) 852-1532

Fax

(215) 827-5942

NPI assigned

Oct 27, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Shawna P Wells, MED

Title

Chief Exec. Officer

Phone

(215) 847-5951

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1319673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319673600000",
    "number": "1912283573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 BALTIMORE AVE",
            "address_2": "2ND FLOOR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191433129",
            "telephone_number": "215-852-1532",
            "fax_number": "215-827-5942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 BALTIMORE AVE",
            "address_2": "2ND FLOOR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191433129",
            "telephone_number": "215-852-1532",
            "fax_number": "215-827-5942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIPP WEST PHILADELPHIA PREP CHARTER SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-27",
        "last_updated": "2011-10-27",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "SHAWNA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CHIEF EXEC. OFFICER",
        "authorized_official_telephone_number": "215-847-5951",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MED"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalia Kiperman, AUD., CCC-A
• Carie Kipnis, LCSW
• Kipp Dubois Charter School
• Kipp Philadelphia Charter School
• Kipp West Philadelphia Charter School
• Kristina Marie Kipp, PHARM.D.
• Akshatha Kiran, MD
• Tiana Kirby Johnson
• Brian Kirby, MSPT
• Cheryl L. Kirby, MD

• 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 Oct 27, 2011; 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.