KIPP BRIDGE CHARTER SCHOOL (NPI# 1003170986) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003170986 |
| Entity Type | Organization |
| Organization Name | KIPP BRIDGE CHARTER SCHOOL |
| Practice Address |
991 14th St Oakland CA 94607-3230 |
| Mailing Address |
1404 Franklin St Suite 500 Oakland CA 94612-3210 |
| Practice Telephone | 5104655477 |
| Practice Fax Number | 5104655520 |
| Mailing Telephone | 5104655477 |
| Mailing Fax Number | 5104655520 |
| Enumeration Date | 2012-06-26 |
| Last Update Date | 2012-12-10 |
| Authorized Official Name | MS. BETH SUTKUS THOMPSON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5104655477 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251300000X | Local Education Agency (LEA) | Agencies |
| Street Address |
991 14TH ST |
| City | OAKLAND |
| State | CA |
| Zip Code | 94607-3230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902308448 | Laura Hauser | Behavior Technician | 991 14th St, Oakland, CA 94607-3230 | 2018-02-28 |
| 1134643828 | East Bay Agencey for Children | Community/Behavioral Health | 991 14th St, Oakland, CA 94607-3230 | 2017-08-03 |
| 1083134068 | New Bridge Foundation, Inc. | Community/Behavioral Health | 991 14th St, Oakland, CA 94607-3230 | 2017-06-21 |
| 1427401611 | East Bay Agency for Children | Community/Behavioral Health | 991 14th St, Room 105, Oakland, CA 94607-3230 | 2016-07-22 |
| 1336590348 | Fred Finch Youth Center | Counselor | 991 14th St, Oakland, CA 94607-3230 | 2016-06-30 |
| 1881085694 | Stars, Inc. | Community/Behavioral Health | 991 14th St, Oakland, CA 94607-3230 | 2015-02-16 |
| 1366871188 | Oakland Unified School District | Local Education Agency (LEA) | 991 14th St, Oakland, CA 94607-3230 | 2013-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851990832 | Casey Domine | Nurse Practitioner | 1750 10th St., Apt. A, Oakland, CA 94607 | 2020-10-21 |
| 1992303226 | Sonia Maria Sui Ying Poon Harris | Pharmacist | 388 9th Street Ste 108, Oakland, CA 94607 | 2020-10-09 |
| 1962029595 | Yuan Yan | Student in an Organized Health Care Education/Training Program | 310 8th Street, Suit 210 Asian Health Services: Special, Oakland, CA 94607 | 2020-06-30 |
| 1093339962 | Alameda County Probation Department | Case Manager/Care Coordinator | 1111 Jackson St., Oakland, CA 94607 | 2020-06-05 |
| 1053947812 | Deanna Karraa | Registered Nurse | 1111 Jackson 6th Floor, Oakland, CA 94607 | 2020-03-12 |
| 1952942575 | Roots Community Health Center | Family Medicine | 583 5th St Ste A, Oakland, CA 94607 | 2019-10-04 |
| 1568927994 | Lynsey Scott | Counselor | Wiley Manuel Courthouse, 661 Washington St Rm223, Oakland, CA 94607 | 2019-02-11 |
| 1366930182 | Options Recovery Services | Community/Behavioral Health | 614 Alice St, Oakland, CA 94607 | 2018-04-26 |
| 1255845640 | Adrienne My-tram Nguyen, Dds - Inc | Dentist | 475 8th Street, Oakland, CA 94607 | 2017-11-22 |
| 1912422528 | Maria H Cho | Registered Nurse | 2511 Market St, Oakland, CA 94607 | 2017-08-04 |
| Find all providers in zip 94607 | ||||
| Taxonomy Code | 251300000X |
| Grouping | Agencies |
| Classification | Local Education Agency (LEA) |
| The term local education agency means a public board of education or other public authority legally constituted within a State to either provide administrative control or direction of, or perform a service function for public schools serving individuals ages 0 - 21 in a state, city, county, township, school district, or other political subdivision including a combination of school districts or counties recognized in a State as an administrative agency for its public schools. An LEA may provide, or employ professional who provide, services to children included in the Individuals with Disabilities Education Act (IDEA), such services may include, but are not limited to, such medical services as physical, occupational, and speech therapy. |
| Notes: Source: Portions of IDEA Regulations Part B (34 CFR Part 300.18, Assistance to States for the Education of Children with Disabilities) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740895978 | Unity Schools | Local Education Agency (LEA) | 1180 70th Ave, Oakland, CA 94621-3216 | 2020-09-14 |
| 1578178786 | Unity Schools | Local Education Agency (LEA) | 6038 Brann St, Oakland, CA 94605-1544 | 2020-09-14 |
| 1487196507 | Oakland School for The Arts | Local Education Agency (LEA) | 530 18th St, Oakland, CA 94612-1512 | 2016-11-07 |
| 1912353996 | Ramapo Indian Hills Regional High School | Local Education Agency (LEA) | 131 Yawpo Avenue, Oakland, NJ 07436-3219 | 2016-05-10 |
| 1518396480 | Oakland Unified School District | Local Education Agency (LEA) | 915 54th St, Oakland, CA 94608-3142 | 2013-11-01 |
| 1215289467 | Oakland Unified School District | Local Education Agency (LEA) | 3031 E 18th St, Oakland, CA 94601-2457 | 2012-10-12 |
| 1831466226 | California Virtual Academies | Local Education Agency (LEA) | 5866 Marshall St Apt A, Oakland, CA 94608-2616 | 2011-11-29 |
| 1629345327 | Garrett County Board of Education | Local Education Agency (LEA) | 770 Dennett Rd, Oakland, MD 21550-1419 | 2011-11-23 |
| 1194047183 | Aspire Public Schools | Local Education Agency (LEA) | 1001 22nd Ave, Oakland, CA 94606-5200 | 2010-02-18 |
| 1205167491 | Envision Academy | Local Education Agency (LEA) | 1515 Webster Street, Oakland, CA 94612-3355 | 2010-01-27 |
| Find all providers in OAKLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.