PUGET SOUND KIDNEY CENTERS (NPI# 1013572064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013572064 |
| Entity Type | Organization |
| Organization Name | PUGET SOUND KIDNEY CENTERS |
| Practice Address |
11950 47th Ave Sw Lakewood WA 98499 |
| Mailing Address |
1019 Pacific Ave Everett WA 98201-4148 |
| Practice Telephone | 4252595195 |
| Practice Fax Number | 4252589610 |
| Mailing Telephone | 4252595195 |
| Mailing Fax Number | 4252589610 |
| Enumeration Date | 2019-05-06 |
| Last Update Date | 2019-05-06 |
| Authorized Official Name | KEN KOUCHI (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 4252595195 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528478609 | Puget Sound Kidney Centers | Clinic/Center | 18121 149th Street Se, Monroe, WA 98272 | 2014-04-29 |
| 1073939062 | Puget Sound Kidney Centers | Clinic/Center | 809 31st St, Anacortes, WA 98221 | 2014-03-14 |
| 1093835811 | Puget Sound Kidney Centers | Clinic/Center | 21309 44th Ave W, Mountlake Terrace, WA 98043-3507 | 2007-03-29 |
| 1295855013 | Puget Sound Kidney Centers | Clinic/Center | 430 Se Midway Blvd, Oak Harbor, WA 98277-5017 | 2007-03-29 |
| 1386764009 | Puget Sound Kidney Centers | Clinic/Center | 18828 Smokey Point Blvd, Arlington, WA 98223-8266 | 2007-03-29 |
| 1053357434 | Puget Sound Kidney Centers | Clinic/Center | 1005 Pacific Ave, Everett, WA 98201-4148 | 2006-06-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | PUGET SOUND KIDNEY CENTERS | 1019 Pacific Ave, Everett, WA 98201-4148 |
| Street Address |
11950 47TH AVE SW |
| City | LAKEWOOD |
| State | WA |
| Zip Code | 98499 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275159592 | Sea Mar Community Health Centers | Clinic/Center | 5700 100th Street Se, Suite 510, Lakewood, WA 98499 | 2020-06-23 |
| 1568018828 | Heather Leigh Andrade | Behavioral Analyst | 6210 75th St W Ste 100, Lakewood, WA 98499 | 2019-08-13 |
| 1043870876 | Seoul Chinese Herbs Inc | Acupuncturist | 8705 S. Tacoma Way, Lakewood, WA 98499 | 2019-06-14 |
| 1447736657 | Marcela Cunan | Counselor | 9330 59th Avenue Southest, Lakewood, WA 98499 | 2018-07-11 |
| 1609382381 | Leroy Moore IIi | Counselor | 8811 S. Tacoma Way, 106, Lakewood, WA 98499 | 2017-12-18 |
| 1578077657 | Andrea Gaston | Behavior Technician | 8815 S. Tacoma Way, Suite 122, Lakewood, WA 98499 | 2017-11-27 |
| 1609389931 | Jennifer King | Social Worker | 5900 100th St Sw Ste 17b, Lakewood, WA 98499 | 2017-11-08 |
| 1750806337 | Wonyoung Lee | Counselor | 8811 South Tacoma Way, Suite 106, Lakewood, WA 98499 | 2017-08-04 |
| 1043749443 | Frederick Paltron Edwards | Counselor | 9500 Front Street, Suite 100, Lakewood, WA 98499 | 2017-06-08 |
| 1326402025 | Gabrielle T Folino | Counselor | 10116 36 Ave. Ct. Sw, Lakewood, WA 98499 | 2016-04-08 |
| Find all providers in zip 98499 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164890604 | Kingston Dialysis LLC | Clinic/Center | 1750 Pierce St Ste A, Lakewood, CO 80214 | 2015-09-14 |
| 1679940324 | Kingston Dialysis LLC | Clinic/Center | 1750 Pierce St Ste C, Lakewood, CO 80214-1434 | 2015-08-28 |
| 1922475672 | Kingston Dialysis LLC | Clinic/Center | 1057 S Wadsworth Blvd Ste 100, Lakewood, CO 80226 | 2015-08-28 |
| 1588972012 | Kidney Center of Bear Creek LLC | Clinic/Center | 11058 W Jewell Ave, Lakewood, CO 80232-6139 | 2010-09-17 |
| 1831420462 | Total Renal Care Inc | Clinic/Center | 14050 Madison Ave, Lakewood, OH 44107-4530 | 2010-01-21 |
| 1831388107 | Kidney Center of Lakewood LLC | Clinic/Center | 6166 W Alameda Ave, Lakewood, CO 80226-3539 | 2007-10-23 |
| 1124122908 | Lakewood Dialysis Services, LLC | Clinic/Center | 1328 River Ave, #16, Lakewood, NJ 08701-5645 | 2006-09-12 |
| 1003870130 | Total Renal Care Inc | Clinic/Center | 5919 Lakewood Towne Center Blvd Sw Ste A, Lakewood, WA 98499-6513 | 2006-04-14 |
| 1285693002 | Total Renal Care Inc | Clinic/Center | 4611 Silva St, Lakewood, CA 90712-2512 | 2006-03-21 |
| 1295703585 | Total Renal Care Inc | Clinic/Center | 1057 S Wadsworth Blvd, Ste 100, Lakewood, CO 80226-4360 | 2006-03-10 |
| Find all providers in LAKEWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.