Active NPI
Kennedy Jo Kidd
- Behavior Analyst
- Indianapolis, IN
National Provider Identifier
1134928013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 9850 Westpoint Dr Ste 650
Indianapolis, IN 46256-3380 - Phone
- (317) 315-3405
- NPI assigned
- Mar 12, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | IN | Primary |
Addresses
Primary practice location
9850 Westpoint Dr Ste 650
Indianapolis, IN 46256-3380
Mailing address
12650 Hamilton Crossing Blvd
Carmel, IN 46032-5400
Phone (765) 484-6196
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758758400000",
"number": "1134928013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12650 HAMILTON CROSSING BLVD",
"city": "CARMEL",
"state": "IN",
"postal_code": "460325400",
"telephone_number": "765-484-6196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9850 WESTPOINT DR STE 650",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462563380",
"telephone_number": "317-315-3405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIDD",
"first_name": "KENNEDY",
"middle_name": "JO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-03-12",
"last_updated": "2025-09-25",
"certification_date": "2025-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "IN",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.