NORTHRIDGE DIALYSIS CENTER, LLC (NPI# 1538311196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538311196 |
| Entity Type | Organization |
| Organization Name | NORTHRIDGE DIALYSIS CENTER, LLC |
| Practice Address |
4400 Watermelon Road Northport AL 35473 |
| Mailing Address |
1750 Sw Health Pkwy Naples FL 34109-0420 |
| Practice Telephone | 2395948758 |
| Practice Fax Number | 2395948762 |
| Mailing Telephone | 2395948758 |
| Mailing Fax Number | 2395948762 |
| Enumeration Date | 2008-10-15 |
| Last Update Date | 2008-10-17 |
| Authorized Official Name | DR. MICHAEL ROBARDS (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 2395948758 |
| Authorized Official Credential | M.D. |
| 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 |
PENDING | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801128301 | Northridge Dialysis Center, LLC | Clinic/Center | 9325 Reseda Blvd, Northridge, CA 91324-2983 | 2010-02-08 |
| Street Address |
4400 WATERMELON ROAD |
| City | NORTHPORT |
| State | AL |
| Zip Code | 35473 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861002396 | Lacedric Crawford | Chore Provider | 13055 Garden Creek Lane, Northport, AL 35473 | 2020-08-10 |
| 1316585219 | Cerra Jordan Jackson | Family Medicine | 5710 Watermelon Road, Suite 600, Northport, AL 35473 | 2019-12-11 |
| 1033609748 | Kara Lynne Pate | Nurse Practitioner | 5710 Watermelon Rd Ste 600, Northport, AL 35473 | 2018-05-17 |
| 1134619059 | Vanessa Graves | Social Worker | 521 Energy Center Blvd Ste 1506, Northport, AL 35473 | 2018-05-16 |
| 1164930939 | Brandi Nail Hubbard | Family Medicine | 5004 Al-69, Northport, AL 35473 | 2018-01-16 |
| 1831554104 | Danielle Paulos | Pharmacist | 5137 Northcliff Dr, Northport, AL 35473 | 2015-12-30 |
| 1629497508 | Lauren Hanley | Nurse Practitioner | 4280 Watermelon Rd Ste 110, Northport, AL 35473 | 2014-04-08 |
| 1528372802 | Communication Advantage | Speech-Language Pathologist | 507 Energy Center Blvd Suite 301, West Al Speech Pathology, Northport, AL 35473 | 2010-07-29 |
| 1144467309 | Caroline J Day | Family Medicine | 5710 Watermelon Road, Suite 600, Northport, AL 35473 | 2009-01-09 |
| 1649456831 | Harvey A Edwards Iv | Counselor | 3665 Watermelon Road, Northport, AL 35473 | 2008-01-17 |
| Find all providers in zip 35473 | ||||
| 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 |
|---|---|---|---|---|
| 1144459769 | Reliant Renal Care-alabama, LLC | Clinic/Center | 4400 Watermelon Rd # A, Northport, AL 35473-5204 | 2009-07-02 |
| 1336112598 | Dva Healthcare Renal Care Inc | Clinic/Center | 2401 Hospital Dr, Northport, AL 35476-3392 | 2006-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366059990 | Bio-medical Applications of Alabama, Inc. | Clinic/Center | 131 Cox Creek Pkwy S, Florence, AL 35630-3264 | 2020-09-28 |
| 1740893890 | Bio-medical Applications of Alabama, Inc. | Clinic/Center | 664 S University Blvd, Mobile, AL 36609-7866 | 2020-08-28 |
| 1245841550 | Arrowhead Dialysis LLC | Clinic/Center | 1850 Mcfarland Blvd N Ste B, Tuscaloosa, AL 35406-2138 | 2020-08-11 |
| 1861000804 | Fresenius Medical Care Mobile Area, LLC | Clinic/Center | 201 Saint Joseph St Ste B, Mobile, AL 36602-3932 | 2020-07-15 |
| 1538793773 | Isd Renal Inc | Clinic/Center | 2317 Memorial Pkwy Sw Ste 105, Huntsville, AL 35801-5623 | 2020-02-26 |
| 1659838266 | Bio-medical Applications of Alabama, Inc. | Clinic/Center | 40 Wasden Ln, Hope Hull, AL 36043-4310 | 2019-03-01 |
| 1467916502 | Bio-medical Applications of Alabama, Inc. | Clinic/Center | 1850 Parkland Dr Ne, Cullman, AL 35058-6100 | 2019-01-23 |
| 1427533561 | Fresenius Medical Care Coosa River, LLC | Clinic/Center | 708 S 4th St, Gadsden, AL 35901-5221 | 2018-09-25 |
| 1689176711 | Renal Treatment Centers Southeast Lp | Clinic/Center | 1510 Eastern Blvd, Montgomery, AL 36117-1629 | 2018-03-05 |
| 1114434230 | Prattville Community Dialysis LLC | Clinic/Center | 1815 Glynwood Dr, Prattville, AL 36066-5584 | 2018-01-10 |
| 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.