Active NPI
Marian Gay Layne
- Case Manager/Care Coordinator
- Logan, WV
National Provider Identifier
1104416551
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 300 Prosperity LN Ste 277
Logan, WV 25601-3743 - Phone
- (304) 928-1972
- NPI assigned
- Jan 20, 2021
- Last updated
- Jan 20, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | NU | Primary |
Addresses
Primary practice location
300 Prosperity LN Ste 277
Logan, WV 25601-3743
Mailing address
36 Spence St
Delbarton, WV 25670-7275
Phone (304) 928-1972
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611100800000",
"number": "1104416551",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36 SPENCE ST",
"city": "DELBARTON",
"state": "WV",
"postal_code": "256707275",
"telephone_number": "304-928-1972"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 PROSPERITY LN STE 277",
"city": "LOGAN",
"state": "WV",
"postal_code": "256013743",
"telephone_number": "304-928-1972"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAYNE",
"first_name": "MARIAN",
"middle_name": "GAY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-01-20",
"last_updated": "2021-01-20",
"certification_date": "2021-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Logan, WV
- Charity Dawn Korody
- Radhakrishna Kukkillaya, M.D.
- Kelli Beth Lacy, PRSS
- Lakyn Lambert
- Amanda Nichole Lawson
- Christopher Lee Lesher
- Robin Lester
- Lincare Inc (Lincare)
- Lincoln County Primary Care Center, Inc (Southern West Virgina Health System-Logan)
- Lincoln County Primary Care Center, Inc. (Logan Wildcat Health Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.