Active NPI
Hollywood Artificial Kidney Center LTD
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Hollywood, FL
National Provider Identifier
1467432138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- HOLLYWOOD ARTIFICIAL KIDNEY CENTER LTD
- Practice address
- 1 Oakwood Blvd
Suite 100
Hollywood, FL 33020-1956 - Phone
- (954) 894-7500
- Fax
- (954) 894-7700
- NPI assigned
- Jan 19, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Vicki L Burrier, RN, MBA
- Title
- Director Vice-President
- Phone
- (954) 474-7701
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Primary |
Addresses
Primary practice location
1 Oakwood Blvd
Suite 100
Hollywood, FL 33020-1956
Mailing address
7061 Cypress Rd
Suite 104
Plantation, FL 33317-2243
Phone (954) 474-7701
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 211645600 | Medicaid | FL | |
| V5R | Other | FL | BC/BS PROVIDER NO |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Nephrology Physician
- Hollywood, FL
- NPI 1720075658
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137628800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1297641600000",
"number": "1467432138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7061 CYPRESS RD",
"address_2": "SUITE 104",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333172243",
"telephone_number": "954-474-7701",
"fax_number": "954-474-7702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 OAKWOOD BLVD",
"address_2": "SUITE 100",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330201956",
"telephone_number": "954-894-7500",
"fax_number": "954-894-7700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOLLYWOOD ARTIFICIAL KIDNEY CENTER LTD",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-19",
"last_updated": "2011-02-14",
"status": "A",
"authorized_official_last_name": "BURRIER",
"authorized_official_first_name": "VICKI",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "DIRECTOR VICE-PRESIDENT",
"authorized_official_telephone_number": "954-474-7701",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RN, MBA"
},
"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": "211645600",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS PROVIDER NO",
"identifier": "V5R",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hollywood, FL
- Holiday CVS LLC (CVS Pharmacy 05117)
- Holistic Care OT
- Holistic Licensed Behavioral Analysts LLC
- Breonna Elizabeth Holland, MD
- Hollywood Accident & Injury Center LLC
- Hollywood Beach Recovery
- Hollywood Beach Retirement Home
- Hollywood Birth Center
- Hollywood Birth Center (HBC Midwives)
- Hollywood Chiromed Centers (South Florida Spine and Rehab Centers)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.