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LAFAYETTE FAMILY WELLNESS, LLC
NPI 1508590803
Nurse Practitioner - Family in Lafayette, IN

Active since July 12, 2022CLIA 15D2268786 · Waiver
4050 BRITT FARM DR STE C, LAFAYETTE, IN 47905(937) 570-2448 Get Directions Write a Review

NPPES record last updated: August 17, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 17, 2022, Jul 12, 2022 (2 updates tracked since 2022).

About Lafayette Family Wellness, Llc NPPES

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

LAFAYETTE FAMILY WELLNESS, LLC (NPI 1508590803) is a healthcare organization registered as a family in Lafayette, Indiana and active in the NPI registry since July 2022. The organization holds a CLIA Waiver certificate valid through September 15, 2026 and lists Ryan Fay, Ao, as its authorized official.

NPPES Registry Identity

NPI1508590803
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameLAFAYETTE FAMILY WELLNESS, LLC
Location Address4050 BRITT FARM DR STE CLafayette, IN 47905-0712
Mailing Address179 W 550 SCutler, IN 46920-9307
Phone(937) 570-2448
Organization SubpartNo
Authorized OfficialRyan FayAo · (937) 570-2448
Enumeration DateJuly 12, 2022
Last NPPES UpdateAugust 17, 20222 updates tracked since enumeration
NPPES CertifiedAugust 17, 2022
✔ NPI 1508590803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
4050 BRITT FARM DR STE C, Lafayette, IN 47905
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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

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 15D2268786

Lafayette Family Wellness · Lafayette, IN
Active · expires Sep 15, 2026
CLIA Number15D2268786
Laboratory TypePhysician Office
Certificate Effective DateSeptember 16, 2024
Certificate Expiration DateSeptember 15, 2026
Laboratory DirectorRyan Fay
Laboratory Phone(765) 297-0696
Laboratory LocationLafayette Family Wellness4050 Britt Farm Dr Suite C, Lafayette, IN 47905
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.

RYAN FAY
Nurse Practitioner
4050 BRITT FARM DR STE C
LAFAYETTE, IN 47905
Tippecanoe County (765) 297-0696

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 Lafayette Family Wellness, LLC's NPI number?

The NPI number for Lafayette Family Wellness, LLC is 1508590803. It was assigned to this organization in the NPPES registry on July 12, 2022.

Where is Lafayette Family Wellness, LLC located?

Lafayette Family Wellness, LLC is located at 4050 Britt Farm Dr Ste C, Lafayette, IN 47905. The listed phone number is (937) 570-2448.

What is Lafayette Family Wellness, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Lafayette Family Wellness, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2268786) is associated with this NPI, valid through September 15, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Lafayette Family Wellness, LLC was last updated on August 17, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.