NPIMap

Organization Active NPI

Northwest Kidney Centers

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Kent, WA
National Provider Identifier
1164675112
Registry record updated Apr 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
NORTHWEST KIDNEY CENTERS
Practice address
25316 74TH Ave S Ste 101
Kent, WA 98032-6022
Phone
(206) 720-3816
Fax
(206) 292-2133
NPI assigned
Nov 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2025

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

Authorized official

Name
Jennifer Eslava
Title
Chief Financial Officer
Phone
(206) 292-2771

Specialties & licenses 1

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

Addresses

Primary practice location

25316 74TH Ave S Ste 101
Kent, WA 98032-6022

Mailing address

12901 20TH Ave S
Seatac, WA 98168-5159
Phone (206) 292-2771

Other identifiers 1

IdentifierTypeStateIssuer
2000431MedicaidWA

Other names 3

  • Kent Kidney Center Doing business as
  • NKC Kent Kidney Center Doing business as
  • Northwest Kidney Centers dba Kent Kidney Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081212000031 WA Part A Provider - End-Stage Renal Disease Facility (ESRD) 5799673679 Practice locations: Kent, WA

Other NPIs with the same Medicare PAC ID 19

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 19

Care Compare: Dialysis facility

Medicare Care Compare
Listed as
NKC Kent Kidney CenterCCN 502553
Overall star rating
3.0 of 5
Ownership
Non-profit
Certified
Dec 16, 2008
Medicare certification status
ActiveFrom the Provider of Services file
Chain
Northwest Kidney Centers
Dialysis stations
28

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.

National Provider Directory

National Provider Directory
Tax ID family
Northwest Kidney Centers21 organizations share this tax ID, including this one

Other organizations with this tax ID 20

Organizations that report the same tax identification number in the National Provider Directory.

View all 20

Locations

25316 74th Ave S
Kent, WA 98032
Phone (425) 251-0018

25316 74th Ave S
Ste 101
Kent, WA 98032
Phone (206) 720-3816

Practitioners & affiliated clinicians

Affiliated clinicians 8

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1225670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743724800000",
    "number": "1164675112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12901 20TH AVE S",
            "city": "SEATAC",
            "state": "WA",
            "postal_code": "981685159",
            "telephone_number": "206-292-2771",
            "fax_number": "206-860-5821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25316 74TH AVE S STE 101",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980326022",
            "telephone_number": "206-720-3816",
            "fax_number": "206-292-2133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST KIDNEY CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-03",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-04",
        "status": "A",
        "authorized_official_last_name": "ESLAVA",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "206-292-2771"
    },
    "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": "2000431",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kent Kidney Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NKC Kent Kidney Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Northwest Kidney Centers dba Kent Kidney Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kent, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.