1. Home
  2. Directory
  3. Kentucky
  4. Florence
  5. Nurse Practitioner
  6. NPI Profile

KIDNEY DISEASE CONSULTANTS
NPI 1366163685
Nurse Practitioner - Family in Florence, KY

Active since September 06, 2022CLIA 18D1086123 · Waiver
47 CAVALIER BLVD STE 120, FLORENCE, KY 41042(859) 757-4353(859) 534-0865 Get Directions Write a Review

NPPES record last updated: September 6, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Kidney Disease Consultants NPPES

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

KIDNEY DISEASE CONSULTANTS (NPI 1366163685) is a healthcare organization registered as a family in Florence, Kentucky and active in the NPI registry since September 2022. The organization holds a CLIA Waiver certificate valid through July 2, 2028 and lists Sherrie Lynn Myers, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1366163685
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameKIDNEY DISEASE CONSULTANTS
Location Address47 CAVALIER BLVD STE 120Florence, KY 41042-3970
Mailing Address47 Cavalier Blvd Ste 120Florence, KY 41042-3970 · (859) 757-4353 · Fax (859) 534-0865
Phone(859) 757-4353
Fax(859) 534-0865
Organization SubpartYes
Authorized OfficialSherrie Lynn MyersBilling Manager · (859) 757-4353
Enumeration DateSeptember 6, 2022
NPPES CertifiedNovember 1, 2021
✔ NPI 1366163685 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
47 CAVALIER BLVD STE 120, Florence, KY 41042
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 18D1086123

Kidney Disease Consultants · Florence, KY
Active · expires Jul 2, 2028
CLIA Number18D1086123
Laboratory TypePhysician Office
Certificate Effective DateJuly 3, 2026
Certificate Expiration DateJuly 2, 2028
Laboratory DirectorDr. Deepak Mittal
Laboratory Phone(859) 757-4353
Laboratory LocationKidney Disease Consultants47 Cavaler Blvd Suite 120, Florence, KY 41042
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

VPA PC
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
47 CAVALIER BLVD STE 120
FLORENCE, KY 41042
Boone County (859) 283-0544
SYNERGY HEALTHCARE, PSC
Psychologist
47 CAVALIER BLVD STE 120
FLORENCE, KY 41042
Boone County (597) 574-3538

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 Kidney Disease Consultants's NPI number?

The NPI number for Kidney Disease Consultants is 1366163685. It was assigned to this organization in the NPPES registry on September 6, 2022.

Where is Kidney Disease Consultants located?

Kidney Disease Consultants is located at 47 Cavalier Blvd Ste 120, Florence, KY 41042. The listed phone number is (859) 757-4353.

What is Kidney Disease Consultants's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Kidney Disease Consultants hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D1086123) is associated with this NPI, valid through July 2, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Kidney Disease Consultants was last updated on September 6, 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.