Individual provider Active NPI

Nick Blaine Layton, PA

  • Physician Assistant
  • Murray, UT
National Provider Identifier
1750914446
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
11057552-1206 Issued in UT
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, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230620000612 UT Practitioner - Physician Assistant 0042678377 Reassigns benefits to 2 organizations

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
Kindly MD, Inc.Group PAC ID 8921471897, 9 clinicians

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

LicenseStateTypeSpecialty
11057552-1206UTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Kindly LLC CurrentSince Jan 1, 2026 Accepting new patients
Elevate Surgical PC CurrentSince Jan 1, 2026 Accepting new patients
Maliheh Free Clinic PastSince Jun 23, 2025 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.