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GOLDTREE KIDNEY CENTER LLC
NPI 1346439387
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Port St Lucie, FL

Active since October 16, 2007
1407 SE GOLDTREE DR STE A, PORT ST LUCIE, FL 34952(772) 335-8677(772) 335-4489 Get Directions Write a Review

NPPES record last updated: August 18, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 18, 2022, Mar 16, 2020, Mar 21, 2019 and 1 more (4 updates tracked since 2017).

About Goldtree Kidney Center Llc NPPES

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

GOLDTREE KIDNEY CENTER LLC (NPI 1346439387) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Port St Lucie, Florida and active in the NPI registry since October 2007. The organization lists Keisha Denise Greene, Vp Of Clinical & Regulatory, as its authorized official.

NPPES Registry Identity

NPI1346439387
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameGOLDTREE KIDNEY CENTER LLC
Location Address1407 SE GOLDTREE DR STE APort St Lucie, FL 34952-7562
Mailing Address1407 Se Goldtree Dr Ste APort St Lucie, FL 34952-7562 · (772) 335-8677 · Fax (772) 335-4489
Phone(772) 335-8677
Fax(772) 335-4489
Organization SubpartNo
Authorized OfficialKeisha Denise GreeneVp Of Clinical & Regulatory · (978) 522-3905
Enumeration DateOctober 16, 2007
Last NPPES UpdateAugust 18, 20224 updates tracked since enumeration
NPPES CertifiedAugust 18, 2022
✔ NPI 1346439387 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
1407 SE GOLDTREE DR STE A, Port St Lucie, FL 34952
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Other Identifiers 1

Medicaid000100700FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

Other Providers at the Same Location NPPES

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

CRAVILLE DIALYSIS, LLC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1407 SE GOLDTREE DR STE A
PORT ST LUCIE, FL 34952
St. Lucie County (772) 335-8672

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 Goldtree Kidney Center LLC's NPI number?

The NPI number for Goldtree Kidney Center LLC is 1346439387. It was assigned to this organization in the NPPES registry on October 16, 2007.

Where is Goldtree Kidney Center LLC located?

Goldtree Kidney Center LLC is located at 1407 SE Goldtree Dr Ste A, Port St Lucie, FL 34952. The listed phone number is (772) 335-8677.

What is Goldtree Kidney Center 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.

What insurance does Goldtree Kidney Center LLC accept?

Health plans from Molina Healthcare list Goldtree Kidney Center 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 Goldtree Kidney Center LLC was last updated on August 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.