NORTHWEST KIDNEY CENTERS (NPI# 1922193564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922193564 |
| Entity Type | Organization |
| Organization Name | NORTHWEST KIDNEY CENTERS |
| Other Organization Name | NKC RENTON KIDNEY CENTER |
| Practice Address |
602 Oakesdale Ave Sw Renton WA 98057-5224 |
| 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 | 3003142 | 05 | |
| WA | PREMERA BLUE CROSS | 120 | 01 |
| WA | REGENCE BLUE SHIELD | 0251 | 01 |
| Other Name | Type Code |
|---|---|
| NKC Renton Kidney Center | Doing Business As Name - Organization |
| Northwest Kidney Centers dba Renton Kidney Center | Doing Business As Name - Organization |
| Renton 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 |
| 1891880332 | Northwest Kidney Centers | Clinic/Center | 809 Georgiana St, Port Angeles, WA 98362 | 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 |
602 OAKESDALE AVE SW |
| City | RENTON |
| State | WA |
| Zip Code | 98057-5224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154948503 | Hannah Marie Bain | Dietitian, Registered | 602 Oakesdale Ave Sw, Renton, WA 98057-5224 | 2020-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043856628 | Megan Ramaiya | Student in an Organized Health Care Education/Training Program | King Count Sexual Assault & Resource Center, 200 Mill Ave S # 10, Renton, WA 98057 | 2019-11-19 |
| 1063076255 | Breanne Michele Smiley | Specialist/Technologist | 737 Logan Ave N, Renton, WA 98057 | 2019-04-24 |
| 1093215063 | Laura Lewis | Physical Medicine & Rehabilitation | 1000 Oakesdale Ave Sw Ste 100, Renton, WA 98057 | 2018-02-16 |
| 1437676004 | Ralph William Papke Jr. | Counselor | Kaiser Permanente of Wa, 1200 Sw 27th St, Renton, WA 98057 | 2017-08-24 |
| 1487106456 | Serengeti Care Partners LLC | Community/Behavioral Health | 707 S- Grady Way, Suite 6008, Renton, WA 98057 | 2016-10-26 |
| 1548716152 | Phandinh Ngoc Nguyen | Naturopath | 330 Sw 43rd St,suite L, Renton, WA 98057 | 2016-09-01 |
| 1275905721 | Todd R Glass | Chiropractor | 1024 N 10th Pl #2306, Renton, WA 98057 | 2015-10-23 |
| 1134595341 | Have A Heart | Case Management | 151 Taylor Ave Nw, Renton, WA 98057 | 2015-08-12 |
| 1780087171 | Brianne N Lefferts | Physical Therapist | 300 Sw 7th Street, Renton, WA 98057 | 2014-09-30 |
| 1588089460 | Sound Association Western Washington LLC | Audiologist | 108 Factory Ave. N., Ste 2b, Renton, WA 98057 | 2014-02-28 |
| Find all providers in zip 98057 | ||||
| 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 |
|---|---|---|---|---|
| 1093162414 | Total Renal Care Inc | Clinic/Center | 4110 Ne 4th St, Ste E, Renton, WA 98059-5045 | 2016-05-16 |
| 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 | ||||
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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.