Active NPI
Nick Blaine Layton, PA
- Physician Assistant
- Murray, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 11057552-1206
- Practice address
- 5097 S 900 E Ste 100
Murray, UT 84117-5725 - Phone
- (801) 851-5554
- Fax
- (833) 464-2575
- NPI assigned
- Feb 20, 2020
- Last updated
- Mar 27, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 11057552-1206 | UT | Primary |
| Adult Medicine Physician | 207QA0505X | 11057552-1206 | UT |
Addresses
Primary practice location
5097 S 900 E Ste 100
Murray, UT 84117-5725
Mailing address
6654 S Stone Mill Dr
Salt Lake City, UT 84121-3494
Other practice location 1
6654 S Stone Mill Dr
Salt Lake City, UT 84121-3494
Phone (801) 809-2277
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5097 S 900
Salt Lake Cty, UT 84117-5725
740 E 3900
Suite 108
Salt Lake City, UT 84107-2525
Phone (801) 851-5554
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11057552-1206 | UT | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kindly LLC | Current | Accepting new patients | |
| Elevate Surgical PC | Current | Accepting new patients | |
| Maliheh Free Clinic | Past | Accepting new patients |
Locations
5097 S 900 E
Ste 100
Murray, UT 84117
Phone (801) 576-1455
425 E 5350 S
Ste 205
Washington Tr, UT 84405
Phone (801) 758-0206
Interoperability endpoints
- https://api.platform.athenahealth.com/13794/brand/1/csg/1/fhir/r4
Organizations & group practices 4
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.
-
- General Practice Physician
- Millcreek, UT
- NPI 1225647480
-
- Multi-Specialty Clinic/Center
- Murray, UT
- NPI 1487446324
-
- Orthopaedic Surgery Physician
- Ogden, UT
- NPI 1952064198
-
- Primary Care Clinic/Center
- Millcreek, UT
- NPI 1215823497
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711497600000",
"number": "1750914446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6654 S STONE MILL DR",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841213494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5097 S 900 E STE 100",
"city": "MURRAY",
"state": "UT",
"postal_code": "841175725",
"telephone_number": "801-851-5554",
"fax_number": "833-464-2575"
}
],
"practiceLocations": [
{
"address_1": "6654 S Stone Mill Dr",
"address_purpose": "LOCATION",
"city": "Salt Lake City",
"state": "UT",
"postal_code": "841213494",
"country_code": "US",
"telephone_number": "801-809-2277",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LAYTON",
"first_name": "NICK",
"middle_name": "BLAINE",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-02-20",
"last_updated": "2024-03-27",
"certification_date": "2024-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "UT",
"license": "11057552-1206",
"primary": true
},
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "UT",
"license": "11057552-1206",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Murray, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; 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.