Individual provider Active NPI

Sydney Kiker, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Chester, VA
National Provider Identifier
1083160618
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024173877 Issued in VA
Practice address
1307 River Walk Ter Apt 301
Chester, VA 23836-6189
Phone
(804) 754-5023
Fax
(804) 362-3623
NPI assigned
Sep 1, 2016
Last updated
Oct 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024173877 VA Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 201908187NP-PP OR

Addresses

Primary practice location

1307 River Walk Ter Apt 301
Chester, VA 23836-6189

Mailing address

11357 Nuckols Rd # 2199
Glen Allen, VA 23059-5504
Phone (804) 754-5023

Other practice location 1

58646 McNulty Way
Saint Helens, OR 97051-6210
Phone (503) 397-5211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20191114000603 OR Practitioner - Nurse Practitioner 0648559146 Reassigns benefits to 1 organization
I20250502000854 DC Practitioner - Nurse Practitioner 0648559146 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

58646 McNulty Way
Saint Helens, OR 97051-6210
Phone (503) 397-5211

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
201908187NP-PPORMDPsychiatric/Mental Health Nurse Practitioner
0024173877VAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Apr 4, 2025 Accepting new patients
Columbia Community Mental Health CurrentSince Oct 10, 2019 Accepting new patients
Columbia Community Mental Health CurrentSince Oct 10, 2019 Accepting new patients
Columbia Community Mental Health PastSince May 19, 2024 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

105 S 3rd St
Saint Helens, OR 97051
Phone (503) 397-6900

58646 McNulty Way
Saint Helens, OR 97051
Phone (503) 397-0391

8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598

Interoperability endpoints

  • Direct secure messaging: skiker759230@direct.ochin.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1083160618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11357 NUCKOLS RD # 2199",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230595504",
            "telephone_number": "804-754-5023",
            "fax_number": "804-362-3623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 RIVER WALK TER APT 301",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238366189",
            "telephone_number": "804-754-5023",
            "fax_number": "804-362-3623"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "58646 McNulty Way",
            "address_purpose": "LOCATION",
            "city": "Saint Helens",
            "state": "OR",
            "postal_code": "970516210",
            "country_code": "US",
            "telephone_number": "503-397-5211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIKER",
        "first_name": "SYDNEY",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-01",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024173877",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "201908187NP-PP",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chester, VA

Sources for this page

Verify at the official NPI Registry.