1. Home
  2. Directory
  3. Kentucky
  4. Manchester
  5. Clinic Center
  6. NPI Profile

FAMILY PRACTICE OF KENTUCKY LLC
NPI 1972979540
Clinic/Center - Rural Health in Manchester, KY

Active since August 18, 2015CLIA 18D2120458 · Waiver
21 CRESTVIEW DR, MANCHESTER, KY 40962(606) 594-1769(606) 596-0473 Get Directions Write a Review

NPPES record last updated: October 3, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 3, 2022, Jul 31, 2018, Jun 20, 2018 and 2 more (5 updates tracked since 2016).

About Family Practice Of Kentucky Llc NPPES

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

FAMILY PRACTICE OF KENTUCKY LLC (NPI 1972979540) is a healthcare organization registered as a rural health in Manchester, Kentucky and active in the NPI registry since August 2015. The organization holds a CLIA Waiver certificate valid through October 17, 2026 and lists Eva A Edwards, Owner, as its authorized official.

NPPES Registry Identity

NPI1972979540
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameFAMILY PRACTICE OF KENTUCKY LLC
Location Address21 CRESTVIEW DRManchester, KY 40962-7012
Mailing Address204 Town Branch RdManchester, KY 40962-1322 · (606) 596-7196 · Fax (606) 598-1903
Phone(606) 594-1769
Fax(606) 596-0473
Organization SubpartNo
Authorized OfficialEva A EdwardsOwner · (606) 594-1769
Enumeration DateAugust 18, 2015
Last NPPES UpdateOctober 3, 20225 updates tracked since enumeration
NPPES CertifiedOctober 3, 2022
✔ NPI 1972979540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
Also ListedFamily MedicineTaxonomy 207Q00000X · License 900342 (KY)
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
Also ListedNurse PractitionerTaxonomy 363L00000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
21 CRESTVIEW DR, Manchester, KY 40962
Open in Google Maps ↗

Other Identifiers 4

Other193200000XKY · Taxonomy Multi Specialty
Other188978KY · Medicare Part A
Other900342KY · Commonwealth Of Ky Provisional License
Medicaid7100537420KY

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.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 18D2120458

Family Practice Of Kentucky LLC · Manchester, KY
Active · expires Oct 17, 2026
CLIA Number18D2120458
Laboratory TypePhysician Office
Certificate Effective DateOctober 18, 2024
Certificate Expiration DateOctober 17, 2026
Laboratory DirectorMs. Eva A. Edwards
Laboratory Phone(606) 594-1769
Laboratory LocationFamily Practice Of Kentucky LLC21 Crestview Drive, Manchester, KY 40962
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

KAYLA ROACH APRN
Nurse Practitioner (Family)
21 CRESTVIEW DR
MANCHESTER, KY 40962
Clay County (606) 594-1769
SANDRA PENNINGTON APRN
Nurse Practitioner (Family)
21 CRESTVIEW DR
MANCHESTER, KY 40962
Clay County (606) 594-1769
NATALIE NICOLE GROSS APRN, FNP-C
Nurse Practitioner (Family)
21 CRESTVIEW DR
MANCHESTER, KY 40962
Clay County (606) 594-1769

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 Family Practice Of Kentucky LLC's NPI number?

The NPI number for Family Practice Of Kentucky LLC is 1972979540. It was assigned to this organization in the NPPES registry on August 18, 2015.

Where is Family Practice Of Kentucky LLC located?

Family Practice Of Kentucky LLC is located at 21 Crestview Dr, Manchester, KY 40962. The listed phone number is (606) 594-1769.

What is Family Practice Of Kentucky LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Family Practice Of Kentucky LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D2120458) is associated with this NPI, valid through October 17, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Family Practice Of Kentucky LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Family Practice Of Kentucky 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 Family Practice Of Kentucky LLC was last updated on October 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.