Bluegrass Renal Care, PSC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

BLUEGRASS RENAL CARE, PSC

Practice address

3229 Summit Square PL
Suite 240
Lexington, KY 40509-2648

Phone

(859) 263-1717

Fax

(859) 263-0177

NPI assigned

Nov 1, 2006

Last updated

Feb 2, 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

Ziad Sara, MD

Title

Owner

Phone

(859) 263-1717

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Locations

Practitioners 6

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.

• Vanessa A Akers, APRN

  • Nurse Practitioner
  • Lexington, KY
  • NPI 1154844835
  Medicare reassignment NPD
• Brandi Lenay Botkin, APRN

  • Family Nurse Practitioner
  • Lexington, KY
  • NPI 1366934853
  Medicare reassignment NPD
• Ziad W. Deeb Sara, M.D.

  • Nephrology Physician
  • Lexington, KY
  • NPI 1093753063
  Medicare reassignment NPD
• Haley McCall Johns

  • Family Nurse Practitioner
  • Campbellsville, KY
  • NPI 1356004337
  Medicare reassignment NPD
• Hayden Moore, APRN

  • Family Nurse Practitioner
  • Lexington, KY
  • NPI 1538680939

  Single Specialty

  Medicare reassignment NPD
• Lisa C Yearsley, ANCC

  • Acute Care Nurse Practitioner
  • Lexington, KY
  • NPI 1962940718
  Medicare reassignment NPD

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296604800000",
    "number": "1366529737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3229 SUMMIT SQUARE PL",
            "address_2": "SUITE 240",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405092648",
            "telephone_number": "859-263-1717",
            "fax_number": "859-263-0177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3229 SUMMIT SQUARE PL",
            "address_2": "SUITE 240",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405092648",
            "telephone_number": "859-263-1717",
            "fax_number": "859-263-0177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEGRASS RENAL CARE, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2011-02-02",
        "status": "A",
        "authorized_official_last_name": "SARA",
        "authorized_official_first_name": "ZIAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-263-1717",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bluegrass Regional Imaging LLC
• Bluegrass Regional Imaging LLC
• Bluegrass Regional Imaging LLC
• Bluegrass Regional Psychiatric Services Inc. (Eastern State Hospital)
• Bluegrass Relational Psychotherapy, LLC
• Bluegrass Renal Care, PSC (Bluegrass Medical Alliance)
• Bluegrass Retina Consultants, PSC
• Bluegrass Sleep Treatment, LLC
• Bluegrass Social Work Services
• Bluegrass Surgical Assistants, PSC

• Nephrology Physician in Lexington, KY
• Providers in Lexington, KY by specialty
• Nephrology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.