Individual provider Active NPI

Kelly Laird

  • Student in an Organized Health Care Education/Training Program
  • Seattle, WA
National Provider Identifier
1356922215
Registry record updated Apr 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
1959 NE Pacific St
Seattle, WA 98195-0001
Phone
(206) 446-7553
NPI assigned
Apr 20, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

1959 NE Pacific St
Seattle, WA 98195-0001

Mailing address

1959 NE Pacific St
Seattle, WA 98195-0001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, WA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20251209001190 MI Practitioner - Emergency Medicine 8123407913 Reassigns benefits to 5 organizations
I20260522000386 WA Practitioner - Emergency Medicine 8123407913

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1 Zotec Way
Carmel, IN 46032-0052

1500 E Medical Ctr Dr
B1 380 Taubman Center SPC 5305
Ann Arbor, MI 48109-5305

1501 W Chisholm St
Alpena, MI 49707-1401

4000 Wellness Dr
Midland, MI 48670-2000

90 Court St
Plattsburgh, NY 12901-2733

PO Box
Los Angeles, CA 90084

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Mymichigan Medical Center Alpena CurrentSince Oct 20, 2025 Accepting new patients
Mymichigan Medical Center West Branch CurrentSince Oct 20, 2025 Accepting new patients
Mymichigan Medical Center Alma CurrentSince Oct 20, 2025 Accepting new patients
Mymichigan Medical Center Alma CurrentSince Oct 20, 2025 Accepting new patients
Sturgis Hospital, Inc. CurrentSince Dec 14, 2025 Accepting new patients
Mymichigan Medical Center West Branch CurrentSince Oct 20, 2025 Accepting new patients
Mymichigan Medical Center Alpena CurrentSince Oct 20, 2025 Accepting new patients
Mymichigan Medical Center West Branch Current Accepting new patients
Mymichigan Medical Center Clare Current Accepting new patients
West Branch Regional Medical Center Current Accepting new patients
Mymichigan Medical Center Clare CurrentSince Oct 20, 2025 Accepting new patients
Mymichigan Medical Center Clare CurrentSince Oct 20, 2025 Accepting new patients
Sturgis Hospital, Inc. CurrentSince Dec 14, 2025 Accepting new patients

Locations

300 E Warwick Dr
Alma, MI 48801
Phone (989) 463-0104

1501 W Chisholm St
Alpena, MI 49707
Phone (989) 356-7000

703 N McEwan St
Clare, MI 48617
Phone (989) 802-5000

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

4851 E Pickard St
Ste 1000
Mt Pleasant, MI 48858
Phone (989) 956-9069

916 Myrtle St
Sturgis, MI 49091
Phone (269) 651-7824

2463 S M 30
West Branch, MI 48661
Phone (517) 345-3660

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1618876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618876800000",
    "number": "1356922215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1959 NE PACIFIC ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981950001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1959 NE PACIFIC ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981950001",
            "telephone_number": "206-446-7553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAIRD",
        "first_name": "KELLY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-20",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.