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NORTHWEST KIDNEY CENTERS
NPI 1700025038
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Seatac, WA

Active since February 10, 2009
12901 20TH AVE S, SEATAC, WA 98168(206) 923-3562 Get Directions Write a Review

NPPES record last updated: October 20, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 4, 2025, Jul 22, 2020 (2 updates tracked since 2020).

About Northwest Kidney Centers NPPES

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

NORTHWEST KIDNEY CENTERS (NPI 1700025038), doing business as Northwest Kidney Centers Dba Broadway Kidney Center, is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Seatac, Washington and active in the NPI registry since February 2009. The organization maintains 18 additional practice locations and lists Jennifer D. Eslava, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1700025038
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameNORTHWEST KIDNEY CENTERS
Location Address12901 20TH AVE SSeatac, WA 98168-5159
Mailing Address12901 20th Ave SSeatac, WA 98168-5159 · (206) 292-2771 · Fax (206) 860-5821
Phone(206) 923-3562
Organization SubpartYes
Authorized OfficialJennifer D. EslavaChief Financial Officer · (206) 720-8508
Enumeration DateFebruary 10, 2009
Last NPPES UpdateOctober 20, 20252 updates tracked since enumeration
NPPES CertifiedOctober 20, 2025
✔ NPI 1700025038 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
12901 20TH AVE S, Seatac, WA 98168
Open in Google Maps ↗

Other Names 1

Doing Business AsNorthwest Kidney Centers Dba Broadway Kidney Center

Secondary Practice Locations 18

Location 1501 S 336th St Ste 110Federal Way, WA 98003-6745 · Phone (253) 943-6312
Location 225316 74th Ave S Ste 101Kent, WA 98032-6022 · Phone (253) 850-6810
Location 36021 12th St E Ste 100Fife, WA 98424-1399 · Phone (253) 943-6335
Location 433820 Weyerhaeuser Way S Ste 100Federal Way, WA 98001-8617 · Phone (253) 943-6262
Location 514524 Bothell Way NELake Forest Park, WA 98155-7606 · Phone (206) 365-0775
Location 610821 SE 204th StKent, WA 98031-5570 · Phone (253) 354-6702
Location 7715 Alder StSeattle, WA 98104-2423 · Phone (206) 720-3940
Location 81010 SE Everett Mall Way Ste 104Everett, WA 98208-2855 · Phone (425) 906-5270
Location 9857 Roosevelt Ave EEnumclaw, WA 98022-9239 · Phone (360) 825-2050
Location 10707 S Chase StPort Angeles, WA 98362-6121 · Phone (360) 565-1435
Location 1117900 International Blvd Ste 301Seatac, WA 98188-4232 · Phone (206) 901-8700
Location 124401 S Trenton StSeattle, WA 98118-4923 · Phone (206) 720-8807
Location 13602 Oakesdale Ave SWRenton, WA 98057-5224 · Phone (425) 251-0647
Location 142150 N 107th St Ste 105Seattle, WA 98133-1305 · Phone (206) 363-5090
Location 151501 W Valley Hwy N Ste 104Auburn, WA 98001-1606 · Phone (253) 804-8323
Location 161474 112th Ave NE Ste 100Bellevue, WA 98004-3762 · Phone (425) 454-0067
Location 1711327 NE 120th StKirkland, WA 98034 · Phone (425) 821-8785
Location 1835131 SE Douglas St Ste 113Snoqualmie, WA 98065-9233 · Phone (425) 396-7090

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Northwest Kidney Centers is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Northwest Kidney Centers, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Bethany Ingersoll, MS, RD
Registered Dietitian or Nutrition Professional
NPI 1154683563
12901 20TH AVE S
Seatac, WA 98168
(206) 292-2771
✔ Accepts MedicareSame address
Katherine Matias, R.D.
Registered Dietitian or Nutrition Professional
NPI 1104279157
12901 20TH AVE S
Seatac, WA 98168
(206) 720-3987
Same address
Jocelyn Naide, RD
Registered Dietitian or Nutrition Professional
NPI 1518773282
12901 20TH AVE S
Seatac, WA 98168
(206) 292-2771
✔ Accepts MedicareSame address
Gregory Wisont, RDN
Registered Dietitian or Nutrition Professional
NPI 1013692771
12901 20TH AVE S
Seatac, WA 98168
(206) 720-3987
✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Northwest Kidney Centers's NPI number?

The NPI number for Northwest Kidney Centers is 1700025038. It was assigned to this organization in the NPPES registry on February 10, 2009. The provider is doing business as Northwest Kidney Centers dba Broadway Kidney Center.

Where is Northwest Kidney Centers located?

Northwest Kidney Centers is located at 12901 20th Ave S, Seatac, WA 98168. The listed phone number is (206) 923-3562.

What is Northwest Kidney Centers's specialty?

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

Is Northwest Kidney Centers enrolled in Medicare?

Yes. Northwest Kidney Centers is registered in the Medicare PECOS enrollment system.

What insurance does Northwest Kidney Centers accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Northwest Kidney Centers 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 Northwest Kidney Centers was last updated on October 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.