Active NPI
Central Kittanning Dialysis Center LLC
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Kittanning, PA
National Provider Identifier
1114085990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- CENTRAL KITTANNING DIALYSIS CENTER LLC
- Practice address
- 1 Nolte Drive
Suite 720
Kittanning, PA 16201-7111 - Phone
- (724) 543-3151
- Fax
- (724) 543-4727
- NPI assigned
- Dec 5, 2006
- Last updated
- May 19, 2026
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | NU | Primary |
Addresses
Primary practice location
1 Nolte Drive
Suite 720
Kittanning, PA 16201-7111
Mailing address
1 Nolte Dr
Suite 720
Kittanning, PA 16201-7111
Phone (724) 543-3151
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1018397950001 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20061218000185 | PA | Part A Provider - End-Stage Renal Disease Facility (ESRD) | 0749289940 | Practice locations: Kittanning, PA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Nephrology Physician
- Augusta, GA
- NPI 1912984790
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1779148800000",
"number": "1114085990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 NOLTE DR",
"address_2": "SUITE 720",
"city": "KITTANNING",
"state": "PA",
"postal_code": "162017111",
"telephone_number": "724-543-3151",
"fax_number": "724-543-4727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 NOLTE DRIVE",
"address_2": "SUITE 720",
"city": "KITTANNING",
"state": "PA",
"postal_code": "162017111",
"telephone_number": "724-543-3151",
"fax_number": "724-543-4727"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTRAL KITTANNING DIALYSIS CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-05",
"last_updated": "2026-05-19",
"certification_date": "2026-05-19",
"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": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1018397950001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kittanning, PA
- Brittany Lee Carson, LPC
- Amber Nicholl Caruso, MOT,OTR,L
- Tiffany Iva Cashdollar, CRNP
- Christine Burghart Cassesse, CRNP
- Robert H Cassimore, DMD
- Anthony Cerminara
- Haley Chakot, LPC
- Chariot Kittanning SNF Opco LLC (Kittanning Nursing & Rehabilitation Center)
- Michael Anthony Chiappialle Sr., BA
- Children's Center for Treatment and Education (Beacon Light Behavioral Health System)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.