On Site Dialysis LLC

Primary specialty

Hemodialysis Registered NurseTaxonomy code 163WH0500X

Legal business name

ON SITE DIALYSIS LLC

Practice address

65 Wren St
Hernando, MS 38632-4433

Phone

(662) 806-7480

NPI assigned

Dec 12, 2022

Organization subpart

No

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

Authorized official

Name

Amy Blagg

Title

Credentialing

Phone

(901) 821-0338

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dante M Wray

  • Peritoneal Dialysis Registered Nurse
  • Hernando, MS
  • NPI 1588381545
  NPD

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

{
    "created_epoch": "1670803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670803200000",
    "number": "1801507702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 382926",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381832926",
            "telephone_number": "662-806-7480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 WREN ST",
            "city": "HERNANDO",
            "state": "MS",
            "postal_code": "386324433",
            "telephone_number": "662-806-7480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ON SITE DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-12",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A",
        "authorized_official_last_name": "BLAGG",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "901-821-0338"
    },
    "taxonomies": [
        {
            "code": "163WH0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Hemodialysis",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Napoli Physical Therapy LLC
• Cynthia H. Nichols, F.N.P.
• Eleanor L Null, O.D.
• Eddie O'Bannon, PD
• Mary Allen Olson, APRN, PMHNP-BC
• Darlin Ordonez, BSN, RN
• Jennifer Pacileo, OTR/L
• Richard Jason Parolli, D.M.D.
• Path to Purpose Counseling & Consulting LLC
• Stacey S Patterson, APN

• Registered Nurse in Hernando, MS
• Providers in Hernando, MS by specialty
• Registered Nurse in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2022; 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.