Organization Active NPI

Betsy Layne Primary Care, PLLC

Doing business as Floyd County Rural Health

  • Family Nurse Practitioner
  • Minnie, KY
National Provider Identifier
1649948043
Registry record updated Sep 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
BETSY LAYNE PRIMARY CARE, PLLC
Doing business as
Floyd County Rural Health
Practice address
8324 Ky Route 122
Minnie, KY 41651-9008
Phone
(606) 949-1727
Fax
(606) 949-1725
NPI assigned
Aug 31, 2021
Last updated
Sep 2, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2021

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

Authorized official

Name
Loren Mikale Kidd, NPNPI 1518356377
Title
Owner
Phone
(606) 637-4500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU
Family Nurse Practitioner 363LF0000X NU Primary

Addresses

Primary practice location

8324 Ky Route 122
Minnie, KY 41651-9008

Mailing address

83 Short St
Betsy Layne, KY 41605-7041
Phone (606) 949-1727

Other names 1

  • Floyd County Rural Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180328001684 KY Part B Supplier - Clinic/Group Practice 7416219605 Receives reassigned benefits from 4 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Minnie, KY; Pikeville, KY

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Betsy Layne Primary Care PLLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

387 Town Mountain Rd
Ste 203
Pikeville, KY 41501
Phone (606) 432-1266

9405 US Highway 23 S
#2
Stanville, KY 41659
Phone (606) 681-6859

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1630368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630540800000",
    "number": "1649948043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 SHORT ST",
            "city": "BETSY LAYNE",
            "state": "KY",
            "postal_code": "416057041",
            "telephone_number": "606-949-1727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8324 KY ROUTE 122",
            "city": "MINNIE",
            "state": "KY",
            "postal_code": "416519008",
            "telephone_number": "606-949-1727",
            "fax_number": "606-949-1725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETSY LAYNE PRIMARY CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-31",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A",
        "authorized_official_last_name": "KIDD",
        "authorized_official_first_name": "LOREN",
        "authorized_official_middle_name": "MIKALE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-637-4500",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Floyd County Rural Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Floyd County Rural Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Minnie, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.