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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ST PETERSBURG KIDNEY CARE SOUTH LLC
NPI 1235549387
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in St Petersburg, FL

Active since April 29, 2014CLIA 10D2077640 · Waiver
4050 34TH STREET SOUTH, ST PETERSBURG, FL 33711(727) 867-1279(727) 867-1280 Get Directions Write a Review

NPPES record last updated: July 17, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 17, 2026, Jan 14, 2023, Aug 18, 2022 and 3 more (6 updates tracked since 2017).

About St Petersburg Kidney Care South Llc NPPES

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

ST PETERSBURG KIDNEY CARE SOUTH LLC (NPI 1235549387) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in St Petersburg, Florida and active in the NPI registry since April 2014. The organization holds a CLIA Waiver certificate valid through May 12, 2028 and lists Sara Anne Brady, Chief Nursing Officer, as its authorized official.

NPPES Registry Identity

NPI1235549387
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameST PETERSBURG KIDNEY CARE SOUTH LLC
Location Address4050 34TH STREET SOUTHSt Petersburg, FL 33711-4350
Mailing Address4050 34th Street SouthSt Petersburg, FL 33711-4350 · (727) 867-1279 · Fax (727) 867-1280
Phone(727) 867-1279
Fax(727) 867-1280
Organization SubpartNo
Authorized OfficialSara Anne BradyChief Nursing Officer · (208) 371-7878
Enumeration DateApril 29, 2014
Last NPPES UpdateJuly 17, 20266 updates tracked since enumeration
NPPES CertifiedJuly 17, 2026
✔ NPI 1235549387 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
4050 34TH STREET SOUTH, St Petersburg, FL 33711
Open in Google Maps ↗

Other Identifiers 1

Medicaid014094000FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and more.Insurance ›

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 10D2077640

St Petersburg Kidney Care South LLC · Saint Petersburg, FL
Active · expires May 12, 2028
CLIA Number10D2077640
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateMay 13, 2026
Certificate Expiration DateMay 12, 2028
Laboratory DirectorNabila Niaz
Laboratory Phone(727) 867-1279
Laboratory LocationSt Petersburg Kidney Care South LLC4050 34th St S, Saint Petersburg, FL 33711
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Dialysis Facility Quality Ratings CMS Care Compare

Quality ratings, services and patient survey results for DaVita St Petersburg South Dialysis (CMS certification number 102803), from CMS Care Compare.

DaVita St Petersburg South Dialysis

Dialysis facility · Saint Petersburg, FL
OwnershipProfit
ChainDaVita
CMS Certification Number102803
ESRD NetworkNetwork 7
Hemodialysis Stations20
Medicare-Certified SinceApril 9, 2004
Location2850 34TH STREET SSaint Petersburg, FL 33711 · Pinellas County
Phone(727) 864-4050
Services Offered
In-center hemodialysis Peritoneal dialysis Home hemodialysis training

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is St Petersburg Kidney Care South LLC's NPI number?

The NPI number for St Petersburg Kidney Care South LLC is 1235549387. It was assigned to this organization in the NPPES registry on April 29, 2014.

Where is St Petersburg Kidney Care South LLC located?

St Petersburg Kidney Care South LLC is located at 4050 34th Street South, St Petersburg, FL 33711. The listed phone number is (727) 867-1279.

What is St Petersburg Kidney Care South LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

Does St Petersburg Kidney Care South LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2077640) is associated with this NPI, valid through May 12, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is St Petersburg Kidney Care South LLC a Medicare-certified dialysis facility?

Yes. DaVita St Petersburg South Dialysis is a Medicare-certified dialysis facility, certified since April 9, 2004.

What insurance does St Petersburg Kidney Care South LLC accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare and Oscar Health Insurance and 6 other insurers list St Petersburg Kidney Care South LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for St Petersburg Kidney Care South LLC was last updated on July 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 35 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.