Individual provider Active NPI

Kimm I. Layland, PAC

  • Physician Assistant
  • Sedro Woolley, WA
National Provider Identifier
1962513853
Registry record updated Sep 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA10004768 Issued in WA
Practice address
1990 Hospital Drive, Suite 100
Skagit Regional Clinics-Sedro Woolley Family Medicine
Sedro Woolley, WA 98284
Phone
(360) 856-4141
Fax
(360) 856-4145
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA10004768 WA Primary

Addresses

Primary practice location

1990 Hospital Drive, Suite 100
Skagit Regional Clinics-Sedro Woolley Family Medicine
Sedro Woolley, WA 98284

Mailing address

1400 E Kincaid St
Attn: Credentialing
Mount Vernon, WA 98274-4127
Phone (360) 428-2500

Other names 1

  • Kimm I. Belles Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20050712000015 WA Practitioner - Physician Assistant 8022044007 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Public Hospital Dist No 1 SkagitGroup PAC ID 6800793522, 321 clinicians
Select Outpatient Services IncGroup PAC ID 4082868815, 750 clinicians
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians

Practice addresses (Care Compare)

1400 E Kincaid St
Mount Vernon, WA 98274-4127
Phone (360) 428-2500

1415 E Kincaid St
Mount Vernon, WA 98274-4126
Phone (360) 416-5750

2600 Compass Rd
Glenview, IL 60026-8001

901 S 5TH St
Mount Vernon, WA 98274-3942
Phone (360) 428-6434

Hospital & facility affiliations

  • Eden Home Health Home health agency, Bellingham, WA, CCN 507105
  • Skagit Valley Hospital Hospital, Mount Vernon, WA, CCN 500003
  • Peacehealth United General Medical Center Hospital, Sedro Woolley, WA, CCN 501329
  • Cascade Valley Hospital Hospital, Arlington, WA, CCN 500060

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA10004768WAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Public Hospital Dist No 1 Skagit CurrentSince Sep 28, 2015 Accepting new patients
Physicians Care Family Medicine Inc PS Current Accepting new patients
Public Hospital Dist No 1 Skagit CurrentSince Sep 28, 2015 Accepting new patients
Public Hospital Dist No 1 Skagit Past Accepting new patients
Dietrich & Smith Clinic Inc P S Past Accepting new patients

Locations

1211 24th St
Anacortes, WA 98221
Phone (360) 293-3181

3823 172nd St NE
Arlington, WA 98223
Phone (360) 618-5000

1815 Main St
Ferndale, WA 98248
Phone (360) 380-7210

1400 E Kincaid St
Mount Vernon, WA 98274
Phone (360) 428-2586

901 S 5th St
Mount Vernon, WA 98274
Phone (360) 428-6434

2320 Freeway Dr
Mount Vernon, WA 98273
Phone (360) 814-6800

2241 Hospital Dr
Sedro Woolley, WA 98284
Phone (360) 856-4141

1990 Hospital Dr
Ste 100
Sedro Woolley, WA 98284
Phone (360) 856-4141

Interoperability endpoints

  • Direct secure messaging: klayland12245@skagit.direct-ci.com

Organizations & group practices 7

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

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441238400000",
    "number": "1962513853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 E KINCAID ST",
            "address_2": "ATTN: CREDENTIALING",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982744127",
            "telephone_number": "360-428-2500",
            "fax_number": "360-428-6485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1990 HOSPITAL DRIVE, SUITE 100",
            "address_2": "SKAGIT REGIONAL CLINICS-SEDRO WOOLLEY FAMILY MEDICINE",
            "city": "SEDRO WOOLLEY",
            "state": "WA",
            "postal_code": "98284",
            "telephone_number": "360-856-4141",
            "fax_number": "360-856-4145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAYLAND",
        "first_name": "KIMM",
        "middle_name": "I.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2015-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA10004768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMM",
            "last_name": "BELLES",
            "middle_name": "I.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sedro Woolley, WA

Sources for this page

Verify at the official NPI Registry.