NICONA DIALYSIS LLC (NPI# 1376100818) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376100818 |
| Entity Type | Organization |
| Organization Name | NICONA DIALYSIS LLC |
| Practice Address |
9010 Brodie Lane Bldg A Austin TX 78748-5184 |
| Mailing Address |
5200 Virginia Way Brentwood TN 37027-7569 |
| Practice Telephone | 5122806505 |
| Practice Fax Number | 5122806866 |
| Mailing Telephone | 6153204224 |
| Mailing Fax Number | 8002934707 |
| Enumeration Date | 2019-05-21 |
| Last Update Date | 2019-05-21 |
| Authorized Official Name | JAMES K HILGER (CHIEF ACCOUNTING OFFICER,TREASURER) |
| Authorized Official Telephone | 3105362400 |
| 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 |
| Other Name | Type Code |
|---|---|
| Brodie Lane Dialysis | Doing Business As Name - Organization |
| Street Address |
9010 BRODIE LANE BLDG A |
| City | AUSTIN |
| State | TX |
| Zip Code | 78748-5184 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073090395 | Dejuan Lewis | Specialist/Technologist | 11301 Farrah Lane, Apt 837, Austin, TX 78748 | 2018-07-20 |
| 1588153340 | Zoe Finch Cameron | Registered Nurse | 906 Kavanagh Dr, Austin, TX 78748 | 2018-05-08 |
| 1194231753 | Embark Home Care | In Home Supportive Care | 2316 Christoff Loop, Austin, TX 78748 | 2017-12-19 |
| 1952815854 | Swish Dental Brodie PC | Clinic/Center | 8916 Brodie Ln, Suite 400, Austin, TX 78748 | 2017-11-30 |
| 1700332921 | National Vision, Inc. | Technician/Technologist | 9500 I-35, Suite J-100, Austin, TX 78748 | 2016-08-28 |
| 1770036212 | Van-anh Huynh | Optometrist | 9500 Interstate 35, Suite J-100, Austin, TX 78748 | 2016-08-02 |
| 1275907263 | Paul Abram Shrogin | Chiropractor | 9701 Brodie Ln Ste 202, Austin, TX 78748 | 2015-11-14 |
| 1790161743 | Matthew Graham Margrett | Pharmacist | 9500 S Ih 35 Frontage Rd, Austin, TX 78748 | 2015-07-31 |
| 1528443660 | Austin Five Star Er, P.a. | Emergency Medicine | 8721 Manchaca Road, Austin, TX 78748 | 2015-07-29 |
| 1710362983 | 512 Eye, Pllc | Optometrist | 11200 Manchaca Road, Building 4 Suite 2, Austin, TX 78748 | 2015-07-29 |
| Find all providers in zip 78748 | ||||
| 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 |
|---|---|---|---|---|
| 1063033520 | Cvs-shc Kidney Care Home Dialysis of Austin LLC | Clinic/Center | 10000 Metric Blvd Ste 100, Austin, TX 78758-5210 | 2020-05-06 |
| 1477174951 | Cvs-shc Kidney Care Home Dialysis of Austin LLC | Clinic/Center | 12176 N Mo Pac Expy Ste A, Austin, TX 78758-2908 | 2020-05-06 |
| 1770104481 | Cvs-shc Kidney Care Home Dialysis of Austin LLC | Clinic/Center | 10001 S Ih 35 Ste 100, Austin, TX 78747-1701 | 2020-05-04 |
| 1194346809 | Cvs-shc Kidney Care Home Dialysis of Austin LLC | Clinic/Center | 1801 E 51st St Ste 100, Austin, TX 78723-3444 | 2020-05-04 |
| 1720609431 | Cvs-shc Kidney Care Home Dialysis of Austin LLC | Clinic/Center | 1701 W Ben White Blvd Ste 180, Austin, TX 78704-7680 | 2020-05-04 |
| 1023639739 | Cvs-shc Kidney Care Home Dialysis of Austin LLC | Clinic/Center | 9811 S Interstate Highway 35 Ste 100, Austin, TX 78744-7901 | 2020-05-04 |
| 1538791298 | Renal Treatment Centers - Southeast, Lp | Clinic/Center | 7912 Cameron Rd, Austin, TX 78754-3826 | 2020-02-10 |
| 1992346316 | Cdi Health, LLC | Clinic/Center | 1717 W 6th St Ste 350, Austin, TX 78703-4870 | 2019-10-07 |
| 1013357110 | Satellite Wellbound of South Austin, LLC | Clinic/Center | 9811 S Ih 35, Bldg 4 Suite 200, Austin, TX 78744 | 2013-07-03 |
| 1518234525 | Renal Treatment Centers Southeast Lp | Clinic/Center | 3601 Manor Rd, Austin, TX 78723-5816 | 2011-11-18 |
| Find all providers in AUSTIN | ||||
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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.