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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

KELLIE KENNEDY
NPI 1528980331
Nurse's Aide in Indianapolis, IN

Active since July 27, 2026
2930 W NEW YORK ST, INDIANAPOLIS, IN 46222(316) 960-0414 Get Directions Write a Review

NPPES record added: July 27, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kellie Kennedy NPPES

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

KELLIE KENNEDY (NPI 1528980331) is an individual nurse's aide in Indianapolis, Indiana, licensed in Indiana (CNA0402821) and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1528980331
Entity TypeIndividualFemale
Primary Taxonomy376K00000X
Provider Legal NameKELLIE KENNEDY
Location Address2930 W NEW YORK STIndianapolis, IN 46222-4487
Mailing Address2930 W New York StIndianapolis, IN 46222-4487 · (316) 960-0414
Phone(316) 960-0414
Sole ProprietorYes
Enumeration DateJuly 27, 2026
NPPES CertifiedJuly 26, 2026
✔ NPI 1528980331 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse's AideNursing Service Related Providers
Taxonomy Code376K00000X
License✔ Licensed in IN · CNA0402821
Definition
(1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional. Examples of tasks performed by nurses aides include changing clothes, diapers, and beds; assisting patients to perform exercises or personal hygiene tasks, and supporting communication or social interaction. Specific education and credentials are not required for this work.
2930 W NEW YORK ST, Indianapolis, IN 46222
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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

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 Kellie Kennedy's NPI number?

The NPI number for Kellie Kennedy is 1528980331. It was assigned to this individual provider in the NPPES registry on July 27, 2026.

Where is Kellie Kennedy located?

Kellie Kennedy practices at 2930 W New York St, Indianapolis, IN 46222. The listed phone number is (316) 960-0414.

What is Kellie Kennedy's specialty?

The primary specialty registered for this NPI is Nurse's Aide with taxonomy code 376K00000X.

When was this NPI record last updated?

The NPPES record for Kellie Kennedy was last updated on July 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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.