COMMONWEALTH FAMILY MEDICINE PLLC
NPI 1902227937
Nurse Practitioner - Family in Louisville, KY

Active since December 17, 2013
12400 SHELBYVILLE RD, LOUISVILLE, KY 40243(502) 883-2218 Get Directions Write a Review

NPPES record last updated: August 3, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Commonwealth Family Medicine Pllc NPPES

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

COMMONWEALTH FAMILY MEDICINE PLLC (NPI 1902227937) is a healthcare organization registered as a family in Louisville, Kentucky and active in the NPI registry since December 2013. The organization lists Ray Charles Kennedy, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1902227937
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameCOMMONWEALTH FAMILY MEDICINE PLLC
Location Address12400 SHELBYVILLE RDLouisville, KY 40243-1419
Mailing Address12400 Shelbyville RoadLouisville, KY 40245-4313 · (502) 883-2218
Organization SubpartNo
Authorized OfficialRay Charles KennedyMedical Director · (502) 377-8138
Enumeration DateDecember 17, 2013
Last NPPES UpdateAugust 3, 2017
NPI 1902227937 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedPhysician AssistantTaxonomy 363A00000X
12400 SHELBYVILLE RD, Louisville, KY 40243

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

Nurse Practitioner (Family)
12400 SHELBYVILLE RD
LOUISVILLE, KY 40243
Physician Assistant
12400 SHELBYVILLE RD
MIDDLETOWN, KY 40243
Nurse Practitioner (Family)
12400 SHELBYVILLE RD
LOUISVILLE, KY 40243

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 Commonwealth Family Medicine PLLC's NPI number?

The NPI number for Commonwealth Family Medicine PLLC is 1902227937. It was assigned to this organization in the NPPES registry on December 17, 2013.

Where is Commonwealth Family Medicine PLLC located?

Commonwealth Family Medicine PLLC is located at 12400 Shelbyville Rd, Louisville, KY 40243. The listed phone number is (502) 883-2218.

What is Commonwealth Family Medicine PLLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Commonwealth Family Medicine PLLC was last updated on August 3, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.