Active NPI
Taylor Courtois
- Nurse Practitioner
- Wichita, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 53-82158-032
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 CenterKansas Mental Health Medicine LLC
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
| License | State | Type | Specialty |
|---|---|---|---|
| 53-82158-032 | KS | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sumner Mental Health Center | Current | Accepting new patients | |
| Kansas Mental Health Medicine LLC | Current | Accepting new patients | |
| Spring Arbor University | Past | Accepting new patients | |
| Spring Arbor University Physical Therapy and Athletic Training LLC | Past | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Wichita, KS
- NPI 1629535265
KS
-
- Family Medicine Physician
- Spring Arbor, MI
- NPI 1821347741
-
- Physical Therapist
- Spring Arbor, MI
- NPI 1649740465
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.