NORTHWEST KIDNEY CENTERS (NPI# 1891880332) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891880332 |
| Entity Type | Organization |
| Organization Name | NORTHWEST KIDNEY CENTERS |
| Other Organization Name | NKC PORT ANGELES KIDNEY CENTER |
| Practice Address |
809 Georgiana St Port Angeles WA 98362 |
| Mailing Address |
700 Broadway Seattle WA 98122 |
| Practice Telephone | 2062922771 |
| Practice Fax Number | 2062922133 |
| Mailing Telephone | 2062922771 |
| Mailing Fax Number | 2062922133 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2020-07-22 |
| Authorized Official Name | CARRIE MCCABE (CFO) |
| Authorized Official Telephone | 2067208508 |
| Is Organization Subpart | Y |
| Parent Organization Name | NORTHWEST KIDNEY CENTERS |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | REGENCE BLUE SHIELD | 0251 | 01 |
| WA | 3990595 | 05 | |
| WA | PREMERA BLUE CROSS | 179 | 01 |
| Other Name | Type Code |
|---|---|
| NKC Port Angeles Kidney Center | Doing Business As Name - Organization |
| Northwest Kidney Centers dba Port Angeles Kidney Center | Doing Business As Name - Organization |
| Port Angeles Kidney Center | Doing Business As Name - Organization |
| 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 |
| 1932757093 | Northwest Kidney Centers | Clinic/Center | 4401 S Trenton St, Seattle, WA 98118-4923 | 2019-08-30 |
| 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 |
| 1083132799 | Northwest Kidney Centers | Clinic/Center | 33820 Weyerhaeuser Way S, Federal Way, WA 98001-9617 | 2017-09-01 |
| 1811241656 | Northwest Kidney Centers | Clinic/Center | 857 Roosevelt Ave E, Enumclaw, WA 98022-9239 | 2012-11-01 |
| 1164675112 | Northwest Kidney Centers | Clinic/Center | 25316 74th Ave S Ste 101, Kent, WA 98032-6022 | 2008-11-03 |
| 1861587750 | Northwest Kidney Centers | Clinic/Center | 2150 N 107th Suite 160, Seattle, WA 98133 | 2006-10-04 |
| 1881789006 | Northwest Kidney Centers | Clinic/Center | 1501 W Valley Hwy N Ste 104, Auburn, WA 98001-1606 | 2006-10-04 |
| 1215022876 | Northwest Kidney Centers | Clinic/Center | 1474 112th Ave Ne, Suite 100, Bellevue, WA 98004-3762 | 2006-10-03 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | NORTHWEST KIDNEY CENTERS | 700 Broadway, Seattle, WA 98122 |
| Washington State Corporations | NORTHWEST KIDNEY CENTERS FOUNDATION | 700 Broadway, Seattle, WA 98122 |
| Street Address |
809 GEORGIANA ST |
| City | PORT ANGELES |
| State | WA |
| Zip Code | 98362 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831735778 | Jayme Marie Williams | Technician | 518 S. Liberty St., Port Angeles, WA 98362 | 2019-11-26 |
| 1780229559 | Barbara Amsler Nutrition, Pllc | Dietitian, Registered | 320 E. 5th St., Port Angeles, WA 98362 | 2019-11-15 |
| 1902315005 | Barbara Amsler | Nutritionist | 116 S. Ennis St, Port Angeles, WA 98362 | 2017-09-21 |
| 1134659667 | Janet Li Hanson | Registered Nurse | 532 South Alder Lane, Port Angeles, WA 98362 | 2017-06-18 |
| 1790220192 | Monica Kay Henry | Massage Therapist | 102 1/2 East 1st Street Suite #7, Port Angeles, WA 98362 | 2016-12-21 |
| 1124491725 | Gabrielle Carter | Naturopath | 1126 Columbia St, Port Angeles, WA 98362 | 2015-11-04 |
| 1912301185 | Danya Lyn Davis | Massage Therapist | 106 W. Lauridsen Blvd., Port Angeles, WA 98362 | 2014-10-17 |
| 1528470861 | Richard Dean Thorson | Orthopaedic Surgery | 719 S. Laurel St, Olympic Chiropractic, Port Angels, WA 98362 | 2014-05-21 |
| 1780001743 | Dr Adam Cramer Pllc | Clinic/Center | 104 W. 3rd St, Port Angeles, WA 98362 | 2014-03-27 |
| 1588089189 | Melanie Mccaughan | Counselor | 933 E First St, Port Angeles, WA 98362 | 2014-02-19 |
| Find all providers in zip 98362 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1801404124 | Northwest Kidney Centers | Clinic/Center | 1010 Se Everett Mall Way Ste 104, Everett, WA 98208-2855 | 2020-07-22 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | PORT ANGELES |
| Zip Code | 98362 |
Please comment or provide details below to improve the information on NORTHWEST KIDNEY CENTERS.
| 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.