PUGET SOUND KIDNEY CENTERS (NPI# 1053357434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053357434 |
| Entity Type | Organization |
| Organization Name | PUGET SOUND KIDNEY CENTERS |
| Practice Address |
1005 Pacific Ave Everett WA 98201-4148 |
| Practice Telephone | 4252595195 |
| Practice Fax Number | 4252594890 |
| Mailing Telephone | 4252595195 |
| Mailing Fax Number | 4252594890 |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2008-02-05 |
| Authorized Official Name | HAROLD S KELLY (PRESIDENT & CEO) |
| 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 |
WA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 3144805 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013572064 | Puget Sound Kidney Centers | Clinic/Center | 11950 47th Ave Sw, Lakewood, WA 98499 | 2019-05-06 |
| 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 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | PUGET SOUND KIDNEY CENTERS | 1019 Pacific Ave, Everett, WA 98201-4148 |
| Street Address |
1005 PACIFIC AVE |
| City | EVERETT |
| State | WA |
| Zip Code | 98201-4148 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922629070 | Nola Anne Topolinski | Dietitian, Registered | 1005 Pacific Ave, Everett, WA 98201-4185 | 2020-04-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306471867 | Shannon Michelle Dewald | Registered Nurse | D8s 1700 13th St, Everett, WA 98201 | 2020-03-05 |
| 1578123113 | Precious Medicial Spa, LLC | Registered Nurse | 1728 W. Marine View Dr Suite 212, Everett, WA 98201 | 2019-06-17 |
| 1508429796 | Alix Deschain | Counselor | 2801 Broadway, Everett, WA 98201 | 2019-04-15 |
| 1811457534 | Khushboo Patel | Pharmacist | 1330 Rockefeller Ave Ste 150, Everett, WA 98201 | 2019-03-20 |
| 1164991188 | Grace Talbot Davis | Registered Nurse | 2601 Summit Avenue, Bldg. C, Everett, WA 98201 | 2018-11-20 |
| 1063924603 | Tracy Sisk | Counselor | 3120 Colby Ave, 502, Everett, WA 98201 | 2017-11-03 |
| 1710403126 | Michelle Durham | Counselor | 3322 Boadway Fl 2, Everett, WA 98201 | 2017-08-17 |
| 1861927949 | Melanie Schmidt | Counselor | 2610 Westmore Ave, Everett, WA 98201 | 2017-04-26 |
| 1518413327 | Joseph Madson Dmd Pllc | Clinic/Center | 3802 Colby Ave, 4th Floor, Everett, WA 98201 | 2016-08-31 |
| 1043683162 | Jennifer Adams | Counselor | 1511 26th St, Everett, WA 98201 | 2015-11-11 |
| Find all providers in zip 98201 | ||||
| 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 |
|---|---|---|---|---|
| 1801404124 | Northwest Kidney Centers | Clinic/Center | 1010 Se Everett Mall Way Ste 104, Everett, WA 98208-2855 | 2020-07-22 |
| 1174766299 | Refuge Dialysis LLC | Clinic/Center | 8130 Evergreen Way, Suite C, Everett, WA 98203-6419 | 2009-04-20 |
| 1518920131 | Keystone Kidney Care Inc | Clinic/Center | 141 Memorial Dr, Everett, PA 15537-7030 | 2006-04-07 |
| 1104379726 | Usrc Bedford, LLC | Clinic/Center | 141 Memorial Dr, Everett, PA 15537-7030 | 2016-08-01 |
| 1326460643 | Keystone Kidney Care, LLC | Clinic/Center | 141 Memorial Dr, Everett, PA 15537-7030 | 2014-01-07 |
| 1811261431 | Prodigy Dialysis | Clinic/Center | 119 Spring Ln, Everett, PA 15537-6938 | 2012-02-29 |
| 1194048702 | Refuge Dialysis LLC | Clinic/Center | 8130 Evergreen Way, Everett, WA 98203-6419 | 2010-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811504277 | Inland Northwest Renal Care Group, LLC | Clinic/Center | 2405 West Washinton Ave, Yakima, WA 98903 | 2020-09-29 |
| 1447867247 | Inland Northwest Renal Care Group, LLC | Clinic/Center | 200 Westerly Rd Ste 104, Bellingham, WA 98226-6489 | 2020-09-25 |
| 1720690506 | Total Renal Care Inc | Clinic/Center | 16290 Auto Ln, Sumner, WA 98390-2568 | 2020-08-21 |
| 1134768088 | Renal Care Group Northwest, Inc. | Clinic/Center | 19663 Sr 410 E, Bonney Lake, WA 98391-5202 | 2019-12-24 |
| 1932757093 | Northwest Kidney Centers | Clinic/Center | 4401 S Trenton St, Seattle, WA 98118-4923 | 2019-08-30 |
| 1013572064 | Puget Sound Kidney Centers | Clinic/Center | 11950 47th Ave Sw, Lakewood, WA 98499 | 2019-05-06 |
| 1861981177 | Northwest Kidney Centers | Clinic/Center | 501 S 336th St Ste 110, Federal Way, WA 98003-6745 | 2018-05-02 |
| 1063901379 | Northwest Kidney Centers | Clinic/Center | 6021 12th St E Ste 100, Fife, WA 98424-1399 | 2018-05-02 |
| 1255838694 | Franciscan Health System | Clinic/Center | 19420 State Route 410 E, Bonney Lake, WA 98391-8472 | 2018-04-11 |
| 1083132799 | Northwest Kidney Centers | Clinic/Center | 33820 Weyerhaeuser Way S, Federal Way, WA 98001-9617 | 2017-09-01 |
| Find all providers with the same taxonomy | ||||
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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.