Jupiter Kidney Center LLC

Jupiter Kidney Center LLC is a healthcare organization registered as End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Jupiter, FL, holding Type 2 (organization) NPI 1790717791 since 2006. The authorized official on file is Sara Brady, Chief Nursing Officer.

✓ Active NPI ✓ Valid NPI checksum

NPI	1790717791
Entity type	Organization (Type 2)
Legal business name	Jupiter Kidney Center LLC
Practice address	1701 MILITARY TRL, SUITE 140, Jupiter, FL, 33458
Phone	5617444661
Fax	5617439846
Enumeration date	2006-07-07
Last updated in NPPES	2023-01-10

Authorized official

Name	Sara Brady
Title	Chief Nursing Officer
Phone	2083717878

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
261QE0700X	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	Primary	—	—

Other identifiers

Identifier	Type	State	Issuer
891220300	Medicaid	FL	—

Copy-ready billing details

Provider: Jupiter Kidney Center LLC
NPI: 1790717791
Taxonomy: 261QE0700X (End-Stage Renal Disease (ESRD) Treatment Clinic/Center)
Address: 1701 MILITARY TRL, SUITE 140, Jupiter, FL, 33458

Providers at this address

NPI	Name	Type	Specialty	Location
1861943581	Sara Wickenheiser	Individual	Behavior Analyst	Jupiter, FL
1144081407	Eliza Bomhardt	Individual	Behavior Technician	Jupiter, FL
1013770486	Victoria Waite	Individual	Behavior Technician	Jupiter, FL
1275411126	Brandy Ferrara	Individual	Behavior Technician	Jupiter, FL
1013874114	Annerose Duprat	Individual	Behavior Technician	Jupiter, FL

Verify this record

Cross-check NPI 1790717791 against the authoritative CMS record: view Jupiter Kidney Center LLC on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2023-01-10. Verify at npiregistry.cms.hhs.gov.

Where is Jupiter Kidney Center LLC located?

The practice location on file with NPPES is in Jupiter, FL.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2023-01-10.