Active NPI
Kelly Laird
- Student in an Organized Health Care Education/Training Program
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- 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
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 |
|---|---|---|---|---|
| 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, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mymichigan Medical Center Alpena | Current | Accepting new patients | |
| Mymichigan Medical Center West Branch | Current | Accepting new patients | |
| Mymichigan Medical Center Alma | Current | Accepting new patients | |
| Mymichigan Medical Center Alma | Current | Accepting new patients | |
| Sturgis Hospital, Inc. | Current | Accepting new patients | |
| Mymichigan Medical Center West Branch | Current | Accepting new patients | |
| Mymichigan Medical Center Alpena | Current | 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 | Current | Accepting new patients | |
| Mymichigan Medical Center Clare | Current | Accepting new patients | |
| Sturgis Hospital, Inc. | Current | 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.
-
- Emergency Medicine Physician
- Alma, MI
- NPI 1568914422
-
- Emergency Medicine Physician
- Alpena, MI
- NPI 1508332792
-
- General Practice Physician
- Clare, MI
- NPI 1134394026
-
- General Acute Care Hospital
- West Branch, MI
- NPI 1538566765
-
- Rural Health Clinic/Center
- Sturgis, MI
- NPI 1255668893
-
- Family Medicine Physician
- Alma, MI
- NPI 1265596126
-
- Internal Medicine Physician
- Alpena, MI
- NPI 1942302302
-
- Urgent Care Clinic/Center
- Clare, MI
- NPI 1225081862
-
- Emergency Medicine Physician
- Clare, MI
- NPI 1962888180
-
- Family Medicine Physician
- West Branch, MI
- NPI 1518418292
-
- Emergency Medicine Physician
- West Branch, MI
- NPI 1649765454
-
- Rural Acute Care Hospital
- Sturgis, MI
- NPI 1598099699
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.