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ST. AUGUSTINE ARTIFICIAL KIDNEY CENTER, LTD.
NPI 1013997600
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in St Augustine, FL

Active since January 19, 2006CLIA 10D0904325 · Waiver
264 SOUTHPARK CIR E, ST AUGUSTINE, FL 32086(904) 808-0445(904) 808-0446 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About St. Augustine Artificial Kidney Center, Ltd. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ST. AUGUSTINE ARTIFICIAL KIDNEY CENTER, LTD. (NPI 1013997600) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in St Augustine, Florida and active in the NPI registry since January 2006. The organization holds a CLIA Waiver certificate valid through August 15, 2027 and lists Vicki L Burrier, Director/vice-president, as its authorized official.

NPPES Registry Identity

NPI1013997600
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameST. AUGUSTINE ARTIFICIAL KIDNEY CENTER, LTD.
Location Address264 SOUTHPARK CIR ESt Augustine, FL 32086-5137
Mailing Address7061 Cypress Rd, Suite 104Plantation, FL 33317-2243 · (954) 474-7701 · Fax (954) 474-7702
Phone(904) 808-0445
Fax(904) 808-0446
Organization SubpartNo
Authorized OfficialVicki L BurrierDirector/vice-president · (954) 474-7701
Enumeration DateJanuary 19, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1013997600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · End-Stage Renal Disease (ESRD) TreatmentAmbulatory Health Care Facilities
Taxonomy Code261QE0700X
264 SOUTHPARK CIR E, St Augustine, FL 32086
Open in Google Maps ↗

Other Identifiers 1

OtherV7AFL · Bc/bs Provider No.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D0904325

St Augustine Dialysis · Saint Augustine, FL
Active · expires Aug 15, 2027
CLIA Number10D0904325
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateAugust 16, 2025
Certificate Expiration DateAugust 15, 2027
Laboratory DirectorAmir A. Malik
Laboratory Phone(904) 808-0445
Laboratory LocationSt Augustine Dialysis264 South Park Circle East, Saint Augustine, FL 32086
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Dialysis Facility Compare Information

Quality of Patient Care Rating Quality of Patient Care Rating
The Medicare program calculates star ratings using specific measure data reported by dialysis centers to Medicare and data from the In-Center Hemodialysis CAHPS Survey.		Not Available - Medicare determined that at least one measure included in the star rating calculation was not accurate for this dialysis center.
Dialysis Facility TypeProfit
Is it part of a chain?Yes
Corporate NameDaVita
Shifts Starting After 5PM Shifts Starting After 5PM
If you can start your dialysis treatment at 5pm or later. These centers may also offer the ability for you to receive dialysis while you sleep.		No
In-Center Hemodialysis In-Center Hemodialysis
Hemodialysis is the most common method for treating advanced and permanent kidney failure. In hemodialysis, your blood flows slowly through a filter to remove wastes and extra fluids and the clean blood is returned to your body.		Yes
Number of Hemodialysis Stations Number of Hemodialysis Stations
The number of hemodialysis stations in the dialysis facility.		18
Peritoneal Dialysis Peritoneal Dialysis
Peritoneal dialysis is a treatment for kidney failure that uses the lining of your abdomen, or belly, to filter your blood inside your body. It uses a soft tube to fill your abdomen with a cleansing liquid that removes waste products from your body and the liquid is drained out of your body after a few hours.		Yes
Home Hemodialysis Training Home Hemodialysis Training
If the dialysis center offers training for patients and caregivers to learn to do hemodialysis treatments at home.		No
Certification or Recertification Date01-10-1996

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TOTAL RENAL CARE INC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
264 SOUTHPARK CIR E
SAINT AUGUSTINE, FL 32086
St. Johns County (904) 808-0445

Frequently Asked Questions

What is ST. AUGUSTINE ARTIFICIAL KIDNEY CENTER, LTD.'s NPI number?

The NPI number assigned to this healthcare provider is 1013997600, enumerated as an "organization" on January 19, 2006.

Where is the provider located?

The provider is located at 264 SOUTHPARK CIR E ST AUGUSTINE, FL 32086 and the phone number is (904) 808-0445.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QE0700X and a focus in End-Stage Renal Disease (ESRD) Treatment.

What insurance does ST. AUGUSTINE ARTIFICIAL KIDNEY CENTER, LTD. accept?

The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.