NPIMap

Organization Active NPI

Northwest Kidney Centers

Doing business as Federal Way West Campus Kidney Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Federal Way, WA
National Provider Identifier
1861981177
Registry record updated Apr 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
NORTHWEST KIDNEY CENTERS
Doing business as
Federal Way West Campus Kidney Center
NKC Federal Way West Campus Kidney Center
Practice address
501 S 336TH St Ste 110
Federal Way, WA 98003-6745
Phone
(253) 943-6312
Fax
(253) 943-6322
NPI assigned
May 2, 2018
Last updated
Apr 4, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
NORTHWEST KIDNEY CENTERSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 4, 2025

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

Authorized official

Name
Jennifer Eslava
Title
Chief Financial Officer
Phone
(206) 292-2771

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X NU Primary

Addresses

Primary practice location

501 S 336TH St Ste 110
Federal Way, WA 98003-6745

Mailing address

12901 20TH Ave S
Seatac, WA 98168-5159
Phone (206) 292-2771

Other identifiers 1

IdentifierTypeStateIssuer
2123772MedicaidWA

Other names 2

  • Federal Way West Campus Kidney Center Doing business as
  • NKC Federal Way West Campus Kidney Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180802002117 WA Part A Provider - End-Stage Renal Disease Facility (ESRD) 5799673679 Practice locations: Federal Way, WA

Other NPIs with the same Medicare PAC ID 19

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 19

Care Compare: Dialysis facility

Medicare Care Compare
Listed as
NKC Federal Way West CampusCCN 502594
Overall star rating
4.0 of 5
Ownership
Non-profit
Certified
Nov 26, 2018
Medicare certification status
ActiveFrom the Provider of Services file
Chain
Northwest Kidney Centers
Dialysis stations
7

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.

National Provider Directory

National Provider Directory
Tax ID family
NW Kidney Center Physician21 organizations share this tax ID, including this one
Part of
NW Kidney Center Physician

Other organizations with this tax ID 20

Organizations that report the same tax identification number in the National Provider Directory.

View all 20

Locations

501 S 336th St
Ste 110
Federal Way, WA 98003
Phone (253) 943-6312

700 Broadway
Seattle, WA 98122

NPI Registry JSON

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

{
    "created_epoch": "1525219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743724800000",
    "number": "1861981177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12901 20TH AVE S",
            "city": "SEATAC",
            "state": "WA",
            "postal_code": "981685159",
            "telephone_number": "206-292-2771",
            "fax_number": "206-860-5821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S 336TH ST STE 110",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980036745",
            "telephone_number": "253-943-6312",
            "fax_number": "253-943-6322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST KIDNEY CENTERS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHWEST KIDNEY CENTERS",
        "enumeration_date": "2018-05-02",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-04",
        "status": "A",
        "authorized_official_last_name": "ESLAVA",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "206-292-2771"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2123772",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Federal Way West Campus Kidney Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Federal Way West Campus Kidney Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NKC Federal Way West Campus Kidney Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Federal Way, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.