Pure Life Renal of Naples, LLC

Primary specialty

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

Legal business name

PURE LIFE RENAL OF NAPLES, LLC

Practice address

3540 Pine Ridge Rd
Naples, FL 34109-3928

Phone

(954) 962-5733

NPI assigned

Oct 18, 2018

Organization subpart

No

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

Authorized official

Name

Jeff Fernandez

Title

Chief Financial Officer

Phone

(954) 962-5733

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Listed as

Pure Life Renal of Naples, LLCCCN 682677

Overall star rating

2.0 of 5

Ownership

Profit

Certified

Jul 25, 2019

Medicare certification status

ActiveFrom the Provider of Services file

Chain

Other

Dialysis stations

16

Locations

Practitioners 5

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

• Neetu Malhotra, M.D,

  • Nephrology Physician
  • Fort Myers, FL
  • NPI 1528254059
  NPD (past)
• James R Sterrett, MD

  • Nephrology Physician
  • Naples, FL
  • NPI 1497707277
  NPD (past)
• Kay Loree Case, PA-C

  • Physician Assistant
  • Rice Lake, WI
  • NPI 1457305781
  NPD (past)
• Patricia G Dicks, RNP

  • Nurse Practitioner
  • Woonsocket, RI
  • NPI 1831129642
  NPD (past)
• Michelle Wen Williamson, APRN

  • Acute Care Nurse Practitioner
  • Greeley, CO
  • NPI 1487956843
  NPD (past)

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• James R Sterrett, MD

  • Nephrology Physician
  • Naples, FL
  • NPI 1497707277

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1539820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660262400000",
    "number": "1942776893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 HOLLYWOOD BLVD STE 300N",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330211242",
            "telephone_number": "954-962-5733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3540 PINE RIDGE RD",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341093928",
            "telephone_number": "954-962-5733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE LIFE RENAL OF NAPLES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-18",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-12",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "954-962-5733"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Robert Pulford, M.D.
• Jacob Pulliam
• Juan Carlos Pun
• Yudelmis Pupo Duran
• Chad J Purdom, M.D
• Purvin Shah, DO, LLC
• Eleonora Pusceddu
• Jennifer Ellen Puthoff
• Putting the Pieces Together Behavioral Therapy
• Natalia Pylypenko

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Naples, FL
• Providers in Naples, FL by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Florida

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