PUGET SOUND KIDNEY CENTERS (NPI# 1386764009) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386764009 |
| Entity Type | Organization |
| Organization Name | PUGET SOUND KIDNEY CENTERS |
| Other Organization Name | PSKC - SMOKEY POINT |
| Practice Address |
18828 Smokey Point Blvd Arlington WA 98223-8266 |
| Mailing Address |
1005 Pacific Ave Everett WA 98201-4148 |
| Practice Telephone | 3604545280 |
| Practice Fax Number | 3604545287 |
| Mailing Telephone | 4252595195 |
| Mailing Fax Number | 4252594890 |
| Enumeration Date | 2007-03-29 |
| 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 |
| Other Name | Type Code |
|---|---|
| PSKC - SMOKEY POINT | Doing Business As Name - Organization |
| 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 |
| 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 |
18828 SMOKEY POINT BLVD |
| City | ARLINGTON |
| State | WA |
| Zip Code | 98223-8266 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811531718 | Jennica Ann Clasby | Dietitian, Registered | 18828 Smokey Point Blvd, Arlington, WA 98223-8266 | 2019-11-04 |
| 1982259271 | Ling-yun Kuo | Dietitian, Registered | 18828 Smokey Point Blvd, Arlington, WA 98223-8266 | 2019-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225667462 | Clark Nursing LLC | Registered Nurse | 30818 412th Dr. N.e., Arlington, WA 98223 | 2020-04-08 |
| 1952952442 | Tina Willett | Technician | 18404 19th Avenue Ne, Arlington, WA 98223 | 2019-09-25 |
| 1841841764 | Carolyn Marie Lantz | Technician | 6002 Cemetery Road, Arlington, WA 98223 | 2019-09-23 |
| 1801457643 | Maddison Post | Massage Therapist | 18725 Smokey Point Boulevard, Arlington, WA 98223 | 2019-06-24 |
| 1790341113 | Brandon Tyler Stott | Specialist/Technologist | 17023 11th Ave Ne, Arlington, WA 98223 | 2019-05-10 |
| 1881177715 | Hailey R Tanis | Massage Therapist | 3131 Smokey Point Drive #5b, Arlington, WA 98223 | 2018-09-06 |
| 1407381023 | Rest Easy Hair Clinic | Specialist | 3710 168th Street N.e. B101, Arlington, WA 98223 | 2017-04-21 |
| 1851839617 | Jamie Claire Chatters-elf | Preventive Medicine | 315 N French Avenue, Arlington, WA 98223 | 2017-02-01 |
| 1790153286 | Glenda Louise Taylor | Massage Therapist | 16404 Smokey Point Blvd #307, 307, Arlington, WA 98223 | 2015-09-14 |
| 1972990042 | Lizette Jamora Antig | Pediatrics | 875 Wesley St Ste 130, Arlington, WA 98223 | 2015-04-16 |
| Find all providers in zip 98223 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
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|---|---|---|---|---|
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| 1427414630 | Greater Irving I Regional Dialysis Center LLC | Clinic/Center | 1950 Ne Green Oaks Blvd, Suite 190, Arlington, TX 76006-3287 | 2016-01-05 |
| 1144614942 | Taum Dialysis LLC | Clinic/Center | 1001 W Arbrook Blvd, Ste 101 & 111, Arlington, TX 76015-4222 | 2015-03-19 |
| 1922373554 | Clayton Dialysis LLC | Clinic/Center | 642 Lincoln Sq, Arlington, TX 76011-4896 | 2012-03-15 |
| 1538201850 | Purificare Dialysis LLC | Clinic/Center | 801 Avenue H E Ste 110, Arlington, TX 76011-7701 | 2007-02-13 |
| 1801995584 | Ameri-tech Kidney Center | Clinic/Center | 1138 S Bowen Rd, Arlington, TX 76013-2204 | 2006-09-21 |
| 1942256466 | Usrc Tarrant Lp | Clinic/Center | 203 W Randol Mill Rd, Arlington, TX 76011-5857 | 2006-05-26 |
| 1477517738 | Dva Healthcare Renal Care, Inc. | Clinic/Center | 4805 1st St N, Arlington, VA 22203-2603 | 2006-04-13 |
| 1073576245 | Dallas Fort Worth Nephrology Lp | Clinic/Center | 1250 E Pioneer Pkwy, Ste 700, Arlington, TX 76010-6423 | 2006-04-10 |
| 1871570051 | Renal Carepartners of Arlington-alexandria, LLC | Clinic/Center | 2445 Army Navy Dr, 2nd Floor, Arlington, VA 22206-2905 | 2005-12-28 |
| Find all providers in ARLINGTON | ||||
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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.