NPIMap

Organization Active NPI

Kentucky Nephrology Research Trust, Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Lexington, KY
National Provider Identifier
1881765204
Registry record updated Aug 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
License
300147 Issued in KY
Legal business name
KENTUCKY NEPHROLOGY RESEARCH TRUST, INC.
Practice address
1101 Winchester Rd
Suite 200
Lexington, KY 40505-4028
Phone
(859) 225-4595
NPI assigned
Nov 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2007

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

Authorized official

Name
David Marshall
Title
President
Phone
(270) 684-2110

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X 300147 KY Primary
Medical Specialty Clinic/Center 261QM2500X 300147 KY

Addresses

Primary practice location

1101 Winchester Rd
Suite 200
Lexington, KY 40505-4028

Mailing address

115 Saint Ann St
Owensboro, KY 42303-4145

Other identifiers 1

IdentifierTypeStateIssuer
39000492MedicaidKY

National Provider Directory

National Provider Directory

Locations

115 Saint Ann St
Owensboro, KY 42303

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187049600000",
    "number": "1881765204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 SAINT ANN ST",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423034145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 WINCHESTER RD",
            "address_2": "SUITE 200",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405054028",
            "telephone_number": "859-225-4595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENTUCKY NEPHROLOGY RESEARCH TRUST, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-10",
        "last_updated": "2007-08-14",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "270-684-2110"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "KY",
            "license": "300147",
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "KY",
            "license": "300147",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39000492",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2007; 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.