Organization Active NPI

Betsy Layne Primary Care, PLLC

  • Clinic/Center
  • Pikeville, KY
National Provider Identifier
1831601699
Registry record updated Aug 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
BETSY LAYNE PRIMARY CARE, PLLC
Practice address
387 Town Mountain Rd Ste 203
Pikeville, KY 41501-1642
Phone
(606) 899-2273
NPI assigned
Nov 1, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2021

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

Authorized official

Name
Loren Kidd, APRNNPI 1518356377
Title
Owner/Provider
Phone
(606) 681-6859

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

387 Town Mountain Rd Ste 203
Pikeville, KY 41501-1642

Mailing address

PO Box 203
Betsy Layne, KY 41605-0203
Phone (606) 681-6859

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
Practice locations: Minnie, KY; Pikeville, KY

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

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 Is CRK Rd Ste 203
Pikeville, KY 41501

9405 US Highway 23 S
Ste 22
Stanville, KY 41659

Ownership & related parties

Other NPIs on the same Medicare enrollment 1

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

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
18D2163886Betsy Layne Primary Care387 Town Mountain Rd Suite 203, Pikeville, KY 41501Certificate of waiverMar 21, 2027

NPI Registry JSON

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

{
    "created_epoch": "1509494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630368000000",
    "number": "1831601699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 203",
            "city": "BETSY LAYNE",
            "state": "KY",
            "postal_code": "416050203",
            "telephone_number": "606-681-6859",
            "fax_number": "606-202-7252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "387 TOWN MOUNTAIN RD STE 203",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415011642",
            "telephone_number": "606-899-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETSY LAYNE PRIMARY CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-01",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-31",
        "status": "A",
        "authorized_official_last_name": "KIDD",
        "authorized_official_first_name": "LOREN",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "606-681-6859",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pikeville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.