Individual provider Active NPI

Mary Beth Layfield, PAC

  • Physician Assistant
  • Saint Petersburg, FL
National Provider Identifier
1992838528
Registry record updated Jan 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9103530 Issued in FL
Practice address
1528 27TH Ave N
Saint Petersburg, FL 33704-2642
Phone
(727) 403-1175
NPI assigned
Mar 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 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 PA9103530 FL Primary

Addresses

Primary practice location

1528 27TH Ave N
Saint Petersburg, FL 33704-2642

Mailing address

1528 27TH Ave N
Saint Petersburg, FL 33704-2642
Phone (727) 403-1175

Other identifiers 2

IdentifierTypeStateIssuer
2928469-00MedicaidFL
PA 9103530OtherFLPHYSICIAN ASSISTANT

Other names 1

  • Mary Beth Gavio Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Town & Country Emergency Physicians LLC Past Accepting new patients
Terra Ceia Emergency Physicians LLC Past Accepting new patients
Pediatric Physician Services, Inc. Past Accepting new patients
Emergency Services of Zephyrhills PA Physician Assistant Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mlayfield732913@direct.hopkinsmedicine.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421884800000",
    "number": "1992838528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1528 27TH AVE N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337042642",
            "telephone_number": "727-403-1175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1528 27TH AVE N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337042642",
            "telephone_number": "727-403-1175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAYFIELD",
        "first_name": "MARY BETH",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2015-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9103530",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2928469-00",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN ASSISTANT",
            "identifier": "PA 9103530",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY BETH",
            "last_name": "GAVIO",
            "credential": "PAC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Saint Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.