The Dialysis Cottage LLC

Primary specialty

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

License

008551 Issued in TX

Legal business name

THE DIALYSIS COTTAGE LLC

Doing business as

The Dialysis Cottage

Practice address

1902 Hospital Blvd
Suite D
Gainesville, TX 76240-2007

Phone

(940) 612-1642

Fax

(940) 612-2360

NPI assigned

Aug 12, 2005

Organization subpart

No

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

Authorized official

Name

Ms. Trish A White, RN, CNN

Title

Administrator

Phone

(940) 612-1642

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• The Dialysis Cottage Doing business as

Locations

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264550400000",
    "number": "1922000587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1902 HOSPITAL BLVD",
            "address_2": "SUITE D",
            "city": "GAINESVILLE",
            "state": "TX",
            "postal_code": "762402007",
            "telephone_number": "940-612-1642",
            "fax_number": "940-612-2360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1902 HOSPITAL BLVD",
            "address_2": "SUITE D",
            "city": "GAINESVILLE",
            "state": "TX",
            "postal_code": "762402007",
            "telephone_number": "940-612-1642",
            "fax_number": "940-612-2360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE DIALYSIS COTTAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-12",
        "last_updated": "2010-01-27",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "TRISH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "940-612-1642",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN, CNN"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "TX",
            "license": "008551",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "193949801",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DSHS",
            "identifier": "008551",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Dialysis Cottage",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Suzanne Schneider Wheeler (LPC) Counseling Services
• Mary Beth Tanner, OT
• Lauren Nicole Taylor, NP
• Angela Kay Tempel
• Texas Em-I Medical Services PA
• The Evangelical Lutheran Good Samaritan Society (Good Samaritan Society North Texas Home Health)
• The Great Escape (none)
• Therapy With Izerial
• Thomas Currier MD PA
• Through the Woods Counseling of North Texas

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Gainesville, TX
• Providers in Gainesville, TX by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2010; 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.