Olympic Peninsula Kidney Center

Primary specialty

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

Legal business name

OLYMPIC PENINSULA KIDNEY CENTER

Doing business as

Olympic Peninsula Kidney Center Northwest

Practice address

2500 W Sims Way
Suite 102
Port Townsend, WA 98368-2234

Phone

(360) 479-5908

Fax

(360) 479-5787

NPI assigned

Mar 29, 2010

Last updated

Apr 5, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Katrina Ardel Russell, RN, CNN

Title

Administrator

Phone

(206) 915-9502

Specialties & licenses 1

Addresses

Other names 1

• Olympic Peninsula Kidney Center Northwest Doing business as

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

{
    "created_epoch": "1269820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301961600000",
    "number": "1902121395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 W SIMS WAY",
            "address_2": "SUITE 102",
            "city": "PORT TOWNSEND",
            "state": "WA",
            "postal_code": "983682234",
            "telephone_number": "360-479-5908",
            "fax_number": "360-479-5787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 W SIMS WAY",
            "address_2": "SUITE 102",
            "city": "PORT TOWNSEND",
            "state": "WA",
            "postal_code": "983682234",
            "telephone_number": "360-479-5908",
            "fax_number": "360-479-5787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLYMPIC PENINSULA KIDNEY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-29",
        "last_updated": "2011-04-05",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "KATRINA",
        "authorized_official_middle_name": "ARDEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "206-915-9502",
        "authorized_official_credential": "RN, CNN"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Olympic Peninsula Kidney Center Northwest",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Margaret E Olson, LMP
• Stacy Ann Olson, RPH
• Olympas Medical Services LLC
• Olympic ABA Inc.
• Olympic Anesthesia Inc PC
• Olympic Rehab Associates, Inc (Uptown Physical Therapy)
• Kimberly Oneil, PHARMD
• Opas P. C.
• Jenna Oppliger, PA-C
• Origins Natural Medicine

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Port Townsend, WA
• Providers in Port Townsend, WA by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2011; 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.