Kidney Life, Inc.

Primary specialty

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

Legal business name

KIDNEY LIFE, INC.

Practice address

446 4TH St S
St Petersburg, FL 33701-4603

Phone

(727) 896-5500

Fax

(727) 898-5317

NPI assigned

Feb 9, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Jossette S Malti, RN

Title

Ceo President

Phone

(727) 896-5500

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• The Bays Dialysis Center Doing business as

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455494400000",
    "number": "1689715112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 47069",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337437069",
            "telephone_number": "727-896-5500",
            "fax_number": "727-898-5317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "446 4TH ST S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337014603",
            "telephone_number": "727-896-5500",
            "fax_number": "727-898-5317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDNEY LIFE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2016-02-15",
        "status": "A",
        "authorized_official_last_name": "MALTI",
        "authorized_official_first_name": "JOSSETTE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO PRESIDENT",
        "authorized_official_telephone_number": "727-896-5500",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "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": "208942400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Bays Dialysis Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katherine Lisa Khokhar, CRNA
• Debbie Kiag, P.T.
• Steven Mariano Kiag, P.T.
• Sophia Kibuismith
• June Kicklighter Peterman
• Kids Home Care, Inc.
• Anna Deelynn Kidwell, RN
• Emma Kidwell
• Melissa White Kidwell, PT
• Kidworks Therapy of Florida, Inc.

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2016; 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.