KELLY LAIRD
NPI 1356922215
Student in an Organized Health Care Education/Training Program in Seattle, WA

Active since April 20, 2021PECOS Enrolled
1959 NE PACIFIC ST, SEATTLE, WA 98195(206) 446-7553 Get Directions Write a Review

NPPES record last updated: April 20, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kelly Laird NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY LAIRD (NPI 1356922215) is an individual student in an organized health care education/training program in Seattle, Washington and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1356922215
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameKELLY LAIRD
Location Address1959 NE PACIFIC STSeattle, WA 98195-0001
Mailing Address1959 Ne Pacific StSeattle, WA 98195-0001
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateApril 20, 2021
NPPES CertifiedApril 20, 2021
NPI 1356922215 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1959 NE PACIFIC ST, Seattle, WA 98195

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kelly Laird is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8123407913
PECOS Enrollment IDI20251209001190, I20260522000386
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1959 NE PACIFIC ST
SEATTLE, WA 98195
Obstetrics & Gynecology (Maternal & Fetal Medicine)
1959 NE PACIFIC ST, 3RD FLOOR SW 350
SEATTLE, WA 98195
Occupational Therapist
1959 NE PACIFIC ST, MAILBOX 356490
SEATTLE, WA 98195
Ophthalmology
1959 NE PACIFIC ST, BOX 365485
SEATTLE, WA 98195
Anesthesiology
1959 NE PACIFIC ST
SEATTLE, WA 98195
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1959 NE PACIFIC ST, BOX 356015
SEATTLE, WA 98195
Pathology (Anatomic Pathology & Clinical Pathology)
1959 NE PACIFIC ST, BOX 356100
SEATTLE, WA 98195
Hospitalist
1959 NE PACIFIC ST
SEATTLE, WA 98195

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Laird's NPI number?

The NPI number for Kelly Laird is 1356922215. It was assigned to this individual provider in the NPPES registry on April 20, 2021.

Where is Kelly Laird located?

Kelly Laird practices at 1959 NE Pacific St, Seattle, WA 98195. The listed phone number is (206) 446-7553.

What is Kelly Laird's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Kelly Laird enrolled in Medicare?

Yes. Kelly Laird is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kelly Laird was last updated on April 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.