Active NPI
Kimm I. Layland, PAC
- Physician Assistant
- Sedro Woolley, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA10004768
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
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
- Select Outpatient Services Inc
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
- Skagit Valley Hospital
- Peacehealth United General Medical Center
- Cascade Valley Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA10004768 | WA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Public Hospital Dist No 1 Skagit | Current | Accepting new patients | |
| Physicians Care Family Medicine Inc PS | Current | Accepting new patients | |
| Public Hospital Dist No 1 Skagit | Current | 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
- 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.
-
- General Practice Physician
- Mount Vernon, WA
- NPI 1023332749
-
- Rehabilitation Clinic/Center
- Glenview, IL
- NPI 1346368248
-
- Family Medicine Physician
- Sedro Woolley, WA
- NPI 1396802492
-
- Obstetrics & Gynecology Physician
- Arlington, WA
- NPI 1073554903
-
- Physical Therapist
- Mount Vernon, WA
- NPI 1811460652
-
- Primary Care Clinic/Center
- Sedro Woolley, WA
- NPI 1336145846
-
- Specialist
- Mount Vernon, WA
- NPI 1629012463
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Bellingham, WA
- NPI 1316031230
-
- Critical Access Hospital
- Sedro Woolley, WA
- NPI 1144664954
-
- General Acute Care Hospital
- Mount Vernon, WA
- NPI 1053357244
-
- General Acute Care Hospital
- Arlington, WA
- NPI 1073566246
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2015; 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.