Individual provider Active NPI

Sandra J Layden, FNP

  • Family Nurse Practitioner
  • Edenton, NC
National Provider Identifier
1619277357
Registry record updated Mar 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5004947 Issued in NC
Practice address
314 W Queen St
Edenton, NC 27932-1733
Phone
(252) 482-7774
NPI assigned
Oct 28, 2010
Last updated
Mar 7, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5004947 NC Primary

Addresses

Primary practice location

314 W Queen St
Edenton, NC 27932-1733

Mailing address

1144 N Road St
Elizabeth City, NC 27909-3473
Phone (252) 384-4610

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110113000092 NC Practitioner - Nurse Practitioner 7719176395 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vidant Medical Group LLCGroup PAC ID 0345343893, 986 clinicians

Practice addresses (Care Compare)

500 S Academy St
Vidant Roanoke Chowan Hospital
Ahoskie, NC 27910-3261
Phone (252) 209-3360

Merit-based Incentive Payment System (MIPS)

Final score
96.95 of 100Reported as apm
Quality
82.44
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
East Carolina Health-Bertie CurrentSince May 24, 2023 Accepting new patients
Vidant Medical Group LLC CurrentSince Jan 31, 2023 Accepting new patients
Centennial Housing & Community Services Corporation CurrentSince May 24, 2021 Accepting new patients
East Carolina Health-Bertie CurrentSince May 24, 2023 Accepting new patients
Centennial Housing & Community Services Corporation CurrentSince May 24, 2021 Accepting new patients
Centennial Housing & Community Services Corporation Past Accepting new patients
Waterway Emergency Physicians LLC Past Accepting new patients
Centennial Housing & Community Services Corporation Past Accepting new patients

Locations

500 Academy St S
Ahoskie, NC 27910
Phone (252) 209-3000

1144 N Road St
Elizabeth Cty, NC 27909
Phone (252) 384-4610

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

958 US Highway 64 E
Plymouth, NC 27962
Phone (252) 793-3523

1403 S King St
Windsor, NC 27983
Phone (252) 794-6685

Interoperability endpoints

  • Direct secure messaging: slayden.wrmc-affinity@direct.wrmc.nchie.net

Organizations & group practices 8

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

NPI Registry JSON

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

{
    "created_epoch": "1288224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457308800000",
    "number": "1619277357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1144 N ROAD ST",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279093473",
            "telephone_number": "252-384-4610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 W QUEEN ST",
            "city": "EDENTON",
            "state": "NC",
            "postal_code": "279321733",
            "telephone_number": "252-482-7774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAYDEN",
        "first_name": "SANDRA",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-28",
        "last_updated": "2016-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5004947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edenton, NC

Sources for this page

Verify at the official NPI Registry.