Nxstage Jacksonville, LLC

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

NXSTAGE JACKSONVILLE, LLC

Practice address

2777 University Blvd W
Suite 39
Jacksonville, FL 32217-2176

Phone

(678) 333-4944

NPI assigned

Aug 13, 2013

Organization subpart

Yes

Parent organization

NXSTAGE KIDNEY CARE, INC.As reported in NPPES

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

Authorized official

Name

Mr. Robert Brown

Title

President Nxstage Kidney Care Inc.

Phone

(978) 687-4703

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1376352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376352000000",
    "number": "1144653270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3430 RIVERS CALL BLVD",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303395611",
            "telephone_number": "678-333-4944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2777 UNIVERSITY BLVD W",
            "address_2": "SUITE 39",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322172176",
            "telephone_number": "678-333-4944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NXSTAGE JACKSONVILLE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NXSTAGE KIDNEY CARE, INC.",
        "enumeration_date": "2013-08-13",
        "last_updated": "2013-08-13",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT NXSTAGE KIDNEY CARE INC.",
        "authorized_official_telephone_number": "978-687-4703",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NV Counseling Services LLC
• Ulunma A Nwachuku, MD
• Austine Nwaobi, LMHC
• Nnenna Nwokeka, PMHNP-BC
• Nneka Nwosisi, MD/MPH
• Druescilla Nyamu
• Antoinette Tutugirl Nyanfor
• Ashlyn Rose Nye, M.S. CCC-SLP
• Kathleen Nye, DNP, APRN, FNP-BC
• Beverly B. Nysewander, MSN ARNP

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2013; 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.