Active NPI
Ara Naples South Dialysis Center LLC
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Naples, FL
National Provider Identifier
1134437213
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- ARA NAPLES SOUTH DIALYSIS CENTER LLC
- Practice address
- 4270 Tamiami TRL E
Suite 1
Naples, FL 34112-6718 - Phone
- (239) 774-7523
- Fax
- (239) 774-1681
- NPI assigned
- Sep 22, 2010
- Last updated
- Jan 13, 2023
- 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 | Primary |
Addresses
Primary practice location
4270 Tamiami TRL E
Suite 1
Naples, FL 34112-6718
Mailing address
4270 Tamiami TRL E
Suite 1
Naples, FL 34112-6718
Phone (239) 774-7523
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003455900 | Medicaid | FL |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2015889 | Ara Naples South Dialysis Center | Certificate of waiver | Nov 7, 2026 |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Nephrology Physician
- Naples, FL
- NPI 1619914058
Member Of
Locations
4270 Tamiami Trl E
Ste 1
Naples, FL 34112
Phone (239) 774-7523
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285113600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1673568000000",
"number": "1134437213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4270 TAMIAMI TRL E",
"address_2": "SUITE 1",
"city": "NAPLES",
"state": "FL",
"postal_code": "341126718",
"telephone_number": "239-774-7523",
"fax_number": "239-774-1681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4270 TAMIAMI TRL E",
"address_2": "SUITE 1",
"city": "NAPLES",
"state": "FL",
"postal_code": "341126718",
"telephone_number": "239-774-7523",
"fax_number": "239-774-1681"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARA NAPLES SOUTH DIALYSIS CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-09-22",
"last_updated": "2023-01-13",
"certification_date": "2023-01-13",
"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": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003455900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Naples, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.