Active NPI
Sydney Anne Haiduk
- Athletic Trainer
- Fort Riley, KS
National Provider Identifier
1679014492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 24-01425
- Practice address
- 650 Huebner Rd
Fort Riley, KS 66442-4030 - Phone
- (609) 846-3195
- NPI assigned
- Mar 13, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 096.004716 | IL | |
| Athletic Trainer | 2255A2300X | 24-01425 | KS | Primary |
Addresses
Primary practice location
650 Huebner Rd
Fort Riley, KS 66442-4030
Mailing address
2275 Buckingham St Apt 3
Manhattan, KS 66503-2118
Other practice location 1
1114 Bertrand St
Apt 4
Manhattan, KS 66502-5179
Phone (660) 491-1650
Other practice location 2
709 Enterprise Dr
Oak Brook, IL 60523-8814
Phone (630) 575-6200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 096.004716 | IL | MD | Athletic Trainer |
| 24-01425 | KS | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782172800000",
"number": "1679014492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2275 BUCKINGHAM ST APT 3",
"city": "MANHATTAN",
"state": "KS",
"postal_code": "665032118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 HUEBNER RD",
"city": "FORT RILEY",
"state": "KS",
"postal_code": "664424030",
"telephone_number": "609-846-3195"
}
],
"practiceLocations": [
{
"address_1": "1114 Bertrand St",
"address_2": "Apt 4",
"address_purpose": "LOCATION",
"city": "Manhattan",
"state": "KS",
"postal_code": "665025179",
"country_code": "US",
"telephone_number": "660-491-1650",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "709 Enterprise Dr",
"address_purpose": "LOCATION",
"city": "Oak Brook",
"state": "IL",
"postal_code": "605238814",
"country_code": "US",
"telephone_number": "630-575-6200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAIDUK",
"first_name": "SYDNEY",
"middle_name": "ANNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-13",
"last_updated": "2026-06-23",
"certification_date": "2026-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "IL",
"license": "096.004716",
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "KS",
"license": "24-01425",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Riley, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.