Nisene Dialysis, LLC

Primary specialty

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

Legal business name

NISENE DIALYSIS, LLC

Doing business as

Park Rapids Dialysis

Practice address

110 7TH Street W
Park Rapids, MN 56470-1541

Phone

(218) 732-1000

Fax

(218) 732-4598

NPI assigned

Apr 19, 2013

Last updated

Feb 27, 2019By 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

James K Hilger

Title

Chief Accounting Officer

Phone

(253) 733-4500

Specialties & licenses 1

Addresses

Other names 1

• Park Rapids Dialysis Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Total Renal Care Inc

  dba Parkland Dialysis Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Parkland, WA
  • NPI 1881987485

  Member Of

  NPD member

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ahmer H Qarni, MD

  • Nephrology Physician
  • Fargo, ND
  • NPI 1518997691
  NPD (past)

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

{
    "created_epoch": "1366329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551225600000",
    "number": "1295179380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 VIRGINIA WAY",
            "address_2": "4TH FLOOR L&C DEPT",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277569",
            "telephone_number": "615-320-4514",
            "fax_number": "866-594-9961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 7TH STREET W",
            "city": "PARK RAPIDS",
            "state": "MN",
            "postal_code": "564701541",
            "telephone_number": "218-732-1000",
            "fax_number": "218-732-4598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NISENE DIALYSIS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-19",
        "last_updated": "2019-02-27",
        "status": "A",
        "authorized_official_last_name": "HILGER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CHIEF ACCOUNTING OFFICER",
        "authorized_official_telephone_number": "253-733-4500"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Park Rapids Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Park Rapids Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gladys Marie Murphy
• Jeremy John Nelson, D.C.
• Lora Lynne Nelson, D.D.S.
• Mary Jane Nelson, APRN-C
• Kathryn L Nevins, CNP
• Michelle Marie Noffze, LPCC
• Brenda J Norby, P.A-C
• North Country Medicine LLC
• North Country Psychiatry
• Northern Lights Psychiatry LLC

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Park Rapids, MN
• Providers in Park Rapids, MN by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2019; 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.