NPIMap

Organization Active NPI

Kennewick Kidney Disease and Hypertension Clinic, PLLC

  • Nephrology Physician
  • Kennewick, WA
National Provider Identifier
1154838548
Registry record updated Jan 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
604200533 Issued in WA
Legal business name
KENNEWICK KIDNEY DISEASE AND HYPERTENSION CLINIC, PLLC
Practice address
901 S Auburn St
Kennewick, WA 99336-5662
Phone
(509) 586-5538
NPI assigned
Jan 7, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2018

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

Authorized official

Name
Dr. Flordeliza Lilagan, MD
Title
Physician
Phone
(360) 510-0827

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X 604200533 WA Primary

Addresses

Primary practice location

901 S Auburn St
Kennewick, WA 99336-5662

Mailing address

901 S Auburn St
Kennewick, WA 99336-5662
Phone (509) 586-5538

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1515283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515283200000",
    "number": "1154838548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 S AUBURN ST",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993365662",
            "telephone_number": "509-586-5538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 S AUBURN ST",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993365662",
            "telephone_number": "509-586-5538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNEWICK KIDNEY DISEASE AND HYPERTENSION CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-07",
        "last_updated": "2018-01-07",
        "status": "A",
        "authorized_official_last_name": "LILAGAN",
        "authorized_official_first_name": "FLORDELIZA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "360-510-0827",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "WA",
            "license": "604200533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennewick, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2018; 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.