Organization Active NPI

Taylor Shayne, LLC

  • Social Worker
  • Wichita, KS
National Provider Identifier
1124864491
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
TAYLOR SHAYNE, LLC
Practice address
250 N Rock Rd Ste 130
Wichita, KS 67206-2261
Phone
(316) 394-0040
Fax
(316) 221-7139
NPI assigned
Jul 5, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2025

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

Authorized official

Name
Taylor Shayne Stout, LMSW
Title
Therapist
Phone
(913) 944-2076

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary

Addresses

Primary practice location

250 N Rock Rd Ste 130
Wichita, KS 67206-2261

Mailing address

240 N Rock Rd Ste 303
Wichita, KS 67206-2246
Phone (913) 944-2076

National Provider Directory

National Provider Directory

Locations

3416 Oakland St
Wichita, KS 67218

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1720137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745798400000",
    "number": "1124864491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 N ROCK RD STE 303",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672062246",
            "telephone_number": "913-944-2076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 N ROCK RD STE 130",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672062261",
            "telephone_number": "316-394-0040",
            "fax_number": "316-221-7139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAYLOR SHAYNE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-05",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A",
        "authorized_official_last_name": "STOUT",
        "authorized_official_first_name": "TAYLOR",
        "authorized_official_middle_name": "SHAYNE",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "913-944-2076",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2025; 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.