KENNEDY FAMILY MEDICINE LLC
NPI 1487415170
Family Medicine in Auburn, IN

Q: What is Kennedy Family Medicine LLC's NPI number?

The NPI number for Kennedy Family Medicine LLC is 1487415170. It was assigned to this organization in the NPPES registry on January 19, 2024.

Q: What is Kennedy Family Medicine LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since January 19, 2024CLIA 15D2300273 · Waiver

1153 W 15TH ST, AUBURN, IN 46706(260) 222-1181(260) 270-2800 Get Directions Write a Review

NPPES record last updated: January 23, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Kennedy Family Medicine Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNEDY FAMILY MEDICINE LLC (NPI 1487415170) is a healthcare organization registered as a family medicine in Auburn, Indiana and active in the NPI registry since January 2024. The organization holds a CLIA Waiver certificate valid through March 5, 2028 and lists Crystal N Kennedy, Owner Operator, as its authorized official.

NPPES Registry Identity

NPI1487415170

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameKENNEDY FAMILY MEDICINE LLC

Location Address1153 W 15TH STAuburn, IN 46706-2061

Mailing Address1153 W 15th StAuburn, IN 46706-2061 · (260) 222-1181 · Fax (260) 270-2800

Phone(260) 222-1181

Fax(260) 270-2800

Organization SubpartNo

Authorized OfficialCrystal N KennedyOwner Operator · (260) 222-1181

Enumeration DateJanuary 19, 2024

Last NPPES UpdateJanuary 23, 2024

NPPES CertifiedJanuary 22, 2024

✔ NPI 1487415170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1153 W 15TH ST, Auburn, IN 46706

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 15D2300273

Kennedy Family Medicine LLC · Auburn, IN

Active · expires Mar 5, 2028

CLIA Number15D2300273

Laboratory TypePractitioner Other

Certificate Effective DateMarch 6, 2026

Certificate Expiration DateMarch 5, 2028

Laboratory DirectorCrystal Kennedy

Laboratory Phone(260) 221-1181

Laboratory LocationKennedy Family Medicine LLC1153 W 15th St, Auburn, IN 46706

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CRYSTAL NICOLE KENNEDY NP

Nurse Practitioner (Primary Care)

1153 W 15TH ST
AUBURN, IN 46706

Dekalb County (260) 222-1181

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kennedy Family Medicine LLC's NPI number?

The NPI number for Kennedy Family Medicine LLC is 1487415170. It was assigned to this organization in the NPPES registry on January 19, 2024.

Where is Kennedy Family Medicine LLC located?

Kennedy Family Medicine LLC is located at 1153 W 15th St, Auburn, IN 46706. The listed phone number is (260) 222-1181.

What is Kennedy Family Medicine LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Kennedy Family Medicine LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2300273) is associated with this NPI, valid through March 5, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Kennedy Family Medicine LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Kennedy Family Medicine LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kennedy Family Medicine LLC was last updated on January 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.