NPIMap

Organization Active NPI

Epsilon Kidney Care, PC

  • Clinic/Center
  • Montgomery, AL
National Provider Identifier
1548975873
Registry record updated Jan 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
EPSILON KIDNEY CARE, PC
Practice address
4770 Woodmere Blvd Ste C4
Montgomery, AL 36106-3083
Phone
(888) 867-9799
Fax
(833) 841-0400
NPI assigned
Jan 20, 2023
Last updated
Jan 20, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
EPSILON KIDNEY CARE, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 20, 2023

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

Authorized official

Name
Dr. Stella Awua-Larbi, MDNPI 1316117443
Title
Owner
Phone
(630) 210-2550

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X NU
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

4770 Woodmere Blvd Ste C4
Montgomery, AL 36106-3083

Mailing address

PO Box 33157
Belfast, ME 04915-0609
Phone (888) 867-9799

National Provider Directory

National Provider Directory
Part of
Epsilon Kidney Care PC

Locations

4770 Woodmere Blvd
Ste C4
Montgomery, AL 36106
Phone (412) 880-9378

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1674172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674172800000",
    "number": "1548975873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 33157",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049150609",
            "telephone_number": "888-867-9799",
            "fax_number": "833-841-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4770 WOODMERE BLVD STE C4",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361063083",
            "telephone_number": "888-867-9799",
            "fax_number": "833-841-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPSILON KIDNEY CARE, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EPSILON KIDNEY CARE, PC",
        "enumeration_date": "2023-01-20",
        "last_updated": "2023-01-20",
        "certification_date": "2022-07-30",
        "status": "A",
        "authorized_official_last_name": "AWUA-LARBI",
        "authorized_official_first_name": "STELLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-210-2550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2023; 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.