Active NPI
Jennifer Ashley Kipp
- Foot & Ankle Surgery Podiatrist
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 861
- Practice address
- 10660 Park Rd Ste 3100
Charlotte, NC 28210-8420 - Phone
- (803) 329-3130
- NPI assigned
- Mar 29, 2022
- Last updated
- Aug 1, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 861 | NC | Primary |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 802 | SC |
Addresses
Primary practice location
10660 Park Rd Ste 3100
Charlotte, NC 28210-8420
Mailing address
10660 Park Rd Ste 3100
Charlotte, NC 28210-8420
Phone (803) 329-3130
Other practice location 1
134 Professional Park Dr
Rock Hill, SC 29732-1178
Phone (704) 863-4878
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Temple University School of Podiatric Medicine, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2800 E Desert Inn Rd
Suite 100
Las Vegas, NV 89121-3609
Phone (702) 731-1616
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CS39879 | NV | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Desert Orthopaedic Center, LTD. | Foot & Ankle Surgery | Current | Accepting new patients |
| Desert Orthopaedic Billing LLC | Past | Accepting new patients |
Locations
2930 W Horizon Ridge Pkwy
Ste 100
Henderson, NV 89052
Phone (702) 263-9082
2800 E Desert Inn Rd
Ste 100
Las Vegas, NV 89121
Phone (702) 294-7499
8205 W Warm Springs Rd
Ste 250
Las Vegas, NV 89113
Phone (702) 227-2152
8402 Centennial Pkwy
Las Vegas, NV 89149
Phone (702) 869-3486
8689 W Charleston Blvd
Ste 105
Las Vegas, NV 89117
Phone (702) 304-5900
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Orthopaedic Surgery Physician
- Las Vegas, NV
- NPI 1548235302
Foot & Ankle Surgery
-
- Orthopaedic Surgery Physician
- Las Vegas, NV
- NPI 1972825602
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Henderson, NV
- NPI 1003281452
-
dba ER at Cadence
- Emergency Care Clinic/Center
- Henderson, NV
- NPI 1285490292
Hospital
-
dba ER at Green Valley Ranch
- Emergency Care Clinic/Center
- Henderson, NV
- NPI 1376198028
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785542400000",
"number": "1952041139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10660 PARK RD STE 3100",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282108420",
"telephone_number": "803-329-3130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10660 PARK RD STE 3100",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282108420",
"telephone_number": "803-329-3130"
}
],
"practiceLocations": [
{
"address_1": "134 Professional Park Dr",
"address_purpose": "LOCATION",
"city": "Rock Hill",
"state": "SC",
"postal_code": "297321178",
"country_code": "US",
"telephone_number": "704-863-4878",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KIPP",
"first_name": "JENNIFER",
"middle_name": "ASHLEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-29",
"last_updated": "2026-08-01",
"certification_date": "2026-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "NC",
"license": "861",
"primary": true
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "SC",
"license": "802",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.