Nra Nicholasville Kentucky LLC

Primary specialty

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

License

300190 Issued in KY

Legal business name

NRA NICHOLASVILLE KENTUCKY LLC

Doing business as

Nicholasville Dialysis Clinic

Practice address

220 Bellaire Drive
Nicholasville, KY 40356

Phone

(859) 881-8118

Fax

(859) 881-8212

NPI assigned

May 9, 2007

Last updated

Feb 10, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jon M. Sundock

Title

Vice President

Phone

(615) 507-3307

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Nicholasville Dialysis Clinic Doing business as

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297296000000",
    "number": "1285848176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 W. MCEWEN DRIVE",
            "address_2": "SUITE 500",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370671731",
            "telephone_number": "615-661-1100",
            "fax_number": "615-507-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 BELLAIRE DRIVE",
            "city": "NICHOLASVILLE",
            "state": "KY",
            "postal_code": "40356",
            "telephone_number": "859-881-8118",
            "fax_number": "859-881-8212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NRA NICHOLASVILLE KENTUCKY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2011-02-10",
        "status": "A",
        "authorized_official_last_name": "SUNDOCK",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "615-507-3307",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "KY",
            "license": "300190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "18D1071037",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nicholasville Dialysis Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicholasville Pharmacy Services Inc (The Prescription Pad)
• Donna Darlene Nichols, OTR/L
• Margaret Mary Noe Renaud, OTR/L
• Hannah Elizabeth Noger, PA-C
• Kathryn Ann Nord, RNFA
• Rebecca O'Hair
• Lindsay O'Nan, D.C.
• Mary O O'Neill
• Anne Meredith Oakes, PA-C
• Occupational Health Centers of the Southwest P.a. (Concentra Medical Center)

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Nicholasville, KY
• Providers in Nicholasville, KY by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2011; 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.