Individual provider Active NPI

Taylor Courtois

  • Nurse Practitioner
  • Wichita, KS
National Provider Identifier
1316622244
Registry record updated Jun 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
53-82158-032 Issued in KS
Practice address
3460 N Ridge Rd Ste 120
Wichita, KS 67205-1223
Phone
(316) 272-0800
NPI assigned
Jun 19, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 53-82158-032 KS Primary

Addresses

Primary practice location

3460 N Ridge Rd Ste 120
Wichita, KS 67205-1223

Mailing address

3460 N Ridge Rd Ste 120
Wichita, KS 67205-1223

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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 1

Enrollment IDStateProvider typePAC IDDetails
I20230811002282 KS Practitioner - Nurse Practitioner 3476915174 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sumner Mental Health Center 14 clinicians
Kansas Mental Health Medicine LLC 26 clinicians

Practice addresses (Care Compare)

1601 W 16TH St
Wellington, KS 67152-8125
Phone (620) 326-7448

3460 N Ridge Rd
Suite 120
Wichita, KS 67205-1223
Phone (316) 272-0800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
53-82158-032KSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sumner Mental Health Center CurrentSince Sep 26, 2023 Accepting new patients
Kansas Mental Health Medicine LLC CurrentSince Jul 17, 2023 Accepting new patients
Spring Arbor University PastSince Jun 1, 2023 Accepting new patients
Spring Arbor University Physical Therapy and Athletic Training LLC PastSince Jun 1, 2023 Accepting new patients

Locations

1601 W 16th St
Wellington, KS 67152
Phone (316) 326-7448

6432 E 34th St N
Ste 100
Wichita, KS 67226
Phone (316) 260-8700

3460 N Ridge Rd
Ste 120
Wichita, KS 67205
Phone (316) 272-0800

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": "1687132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1316622244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3460 N RIDGE RD STE 120",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672051223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3460 N RIDGE RD STE 120",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672051223",
            "telephone_number": "316-272-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COURTOIS",
        "first_name": "TAYLOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-19",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "53-82158-032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.