MEMORIAL NEPHROLOGY ASSOCIATES PLLC NPI 1053374421

NPI Information

  • NPI: 1053374421
  • Provider Name: MEMORIAL NEPHROLOGY ASSOCIATES PLLC
  • Classification: Internal Medicine - 207RN0300X
  • Specialization: Nephrology
  • Entity Type: Organization
  • CLIA Number: 50D0988813
  • Address: 3525 ENSIGN RD NE
    SUITE K
    OLYMPIA, WA
    ZIP 98506
  • Phone: (360) 413-8121

Map and Directions

Get Directions

NPI Details

MEMORIAL NEPHROLOGY ASSOCIATES PLLC is a nephrology internal medicine in Olympia, WA. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. MEMORIAL NEPHROLOGY ASSOCIATES PLLC NPI is 1053374421. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3525 ENSIGN RD NE
SUITE K
OLYMPIA, WA
ZIP 98506-065
Phone: (360) 413-8121
Fax: (360) 413-8865

The provider's authorized official is Mikki Collett .
The authorized official title is Practice Administrator and has the following contact phone number (360) 413-8391.

The CLIA number assigned to this NPI record is 50D0988813 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 4/7/2006 and was last updated on 10/21/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RN0300XInternal MedicineNephrologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI