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FRESENIUS KIDNEY CARE WILLOW GROVE
NPI 1366205031
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Paducah, KY

Active since February 05, 2024CLIA 18D2302742 · Waiver
2551 JAMES SANDERS BLVD, PADUCAH, KY 42001(270) 744-2045(270) 845-3548 Get Directions Write a Review

NPPES record last updated: February 28, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Fresenius Kidney Care Willow Grove NPPES

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

FRESENIUS KIDNEY CARE WILLOW GROVE (NPI 1366205031) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Paducah, Kentucky and active in the NPI registry since February 2024. The organization holds a CLIA Waiver certificate valid through April 15, 2028 and lists Barry L Blanton, Vice President, as its authorized official.

NPPES Registry Identity

NPI1366205031
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameNNA OF PADUCAH, LLC
Location Address2551 JAMES SANDERS BLVDPaducah, KY 42001
Mailing Address2551 James Sanders BlvdPaducah, KY 42001 · (270) 744-2045 · Fax (270) 845-3548
Phone(270) 744-2045
Fax(270) 845-3548
Organization SubpartYesParent: Fresenius Medical Care Holdings, Inc.
Authorized OfficialBarry L BlantonVice President · (781) 699-9000
Enumeration DateFebruary 5, 2024
Last NPPES UpdateFebruary 28, 2024
NPPES CertifiedFebruary 28, 2024
✔ NPI 1366205031 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
2551 JAMES SANDERS BLVD, Paducah, KY 42001
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Other Names 1

Doing Business AsFresenius Kidney Care Willow Grove

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, UnitedHealthcare.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 18D2302742

Fresenius Kidney Care Willow Grove · Paducah, KY
Active · expires Apr 15, 2028
CLIA Number18D2302742
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateApril 16, 2026
Certificate Expiration DateApril 15, 2028
Laboratory DirectorDr. Shaukat Ali
Laboratory Phone(270) 744-2045
Laboratory LocationFresenius Kidney Care Willow Grove2551 James Sanders Blvd, Paducah, KY 42001
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Nna Of Paducah, LLC's NPI number?

The NPI number for Nna Of Paducah, LLC is 1366205031. It was assigned to this organization in the NPPES registry on February 5, 2024. The provider is doing business as Fresenius Kidney Care Willow Grove.

Where is Nna Of Paducah, LLC located?

Nna Of Paducah, LLC is located at 2551 James Sanders Blvd, Paducah, KY 42001. The listed phone number is (270) 744-2045.

What is Nna Of Paducah, 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 Nna Of Paducah, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D2302742) is associated with this NPI, valid through April 15, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Nna Of Paducah, LLC accept?

Health plans from CareSource and UnitedHealthcare list Nna Of Paducah, 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 Nna Of Paducah, LLC was last updated on February 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.