NPIMap

Organization Active NPI

University Kidney Center-Louisville LLC

Doing business as University Kidney Center 3rd Street

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Louisville, KY
National Provider Identifier
1083085815
Registry record updated Jan 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
UNIVERSITY KIDNEY CENTER-LOUISVILLE LLC
Doing business as
University Kidney Center 3rd Street
Practice address
635 S 3Rd St
Louisville, KY 40202-2401
Phone
(502) 561-1314
Fax
(502) 561-1840
NPI assigned
Oct 20, 2015
Last updated
Jan 10, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sara Anne Brady
Title
Chief Nursing Officer
Phone
(208) 371-7878

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X Primary

Addresses

Primary practice location

635 S 3Rd St
Louisville, KY 40202-2401

Mailing address

635 S 3Rd St
Louisville, KY 40202-2401
Phone (502) 561-1314

Other names 1

  • University Kidney Center 3rd Street Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1445299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673308800000",
    "number": "1083085815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 S 3RD ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402022401",
            "telephone_number": "502-561-1314",
            "fax_number": "502-561-1840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 S 3RD ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402022401",
            "telephone_number": "502-561-1314",
            "fax_number": "502-561-1840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY KIDNEY CENTER-LOUISVILLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-20",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A",
        "authorized_official_last_name": "BRADY",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "CHIEF NURSING OFFICER",
        "authorized_official_telephone_number": "208-371-7878"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "University Kidney Center 3rd Street",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "University Kidney Center 3rd Street",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.