Ikare Renal Solutions LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

IKARE RENAL SOLUTIONS LLC

Practice address

8534 Ashington Way
Williamsburg, VA 23188-6647

Phone

(757) 585-4145

NPI assigned

Oct 15, 2020

Organization subpart

No

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

Authorized official

Name

La Toya Dawson

Title

Credentialing Specialist

Phone

(352) 231-7551

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1602720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602720000000",
    "number": "1366040917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8534 ASHINGTON WAY",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231886647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8534 ASHINGTON WAY",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231886647",
            "telephone_number": "757-585-4145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IKARE RENAL SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-15",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A",
        "authorized_official_last_name": "DAWSON",
        "authorized_official_first_name": "LA TOYA",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "352-231-7551"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Hume Hutchinson, LCSW
• Sophie Hyman
• Ashley Nicole Hyndman, OTR/L
• Iaomai Wellness Center, LLC
• Jane Lee Ickes, MSW
• Ikonic LLC.
• Awais Ilyas, SURGICAL ASSISTANT
• Virginia Impelido-Dayoan, MSW
• Independence Child Therapy Services
• Independence Psychotherapy Services LLC

• All providers in Williamsburg, VA
• Clinical Medical Laboratory in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2020; 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.