Individual provider Active NPI

Kaitlyn Wynne, FNP-C

  • Family Nurse Practitioner
  • Amarillo, TX
National Provider Identifier
1710534607
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP142425 Issued in TX
Practice address
3501 S Soncy Rd Ste 124
Amarillo, TX 79119-6406
Phone
(806) 358-8625
Fax
(806) 503-2200
NPI assigned
Aug 25, 2019
Last updated
Aug 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP142425 TX Primary

Addresses

Primary practice location

3501 S Soncy Rd Ste 124
Amarillo, TX 79119-6406

Mailing address

3501 S Soncy Rd Ste 124
Amarillo, TX 79119-6406
Phone (806) 358-8625

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20191010002339 TX Practitioner - Nurse Practitioner 0840521555 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Em Alliance Texas PLLCGroup PAC ID 4587192430, 88 clinicians
Hunt Richardson Group LLCGroup PAC ID 7911373279, 3 clinicians

Practice addresses (Care Compare)

1501 S Coulter St
NW TX Healthcare Sys
Amarillo, TX 79106-1770
Phone (561) 203-0611

3501 S Soncy Rd
124 Infusecare
Amarillo, TX 79119-6406
Phone (806) 358-8625

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP142425TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nes Southwest Medical Services Inc CurrentSince Apr 1, 2023 Accepting new patients
NWTX Physician Network, PLLC CurrentSince Sep 16, 2019 Accepting new patients
NWTX Physician Network, PLLC CurrentSince Sep 16, 2019 Accepting new patients
Em Alliance Texas, PLLC CurrentSince Dec 11, 2024 Accepting new patients
Truepartners Northwest Emergency Associates PLLC CurrentSince Nov 1, 2019 Accepting new patients
Hunt Richardson Group LLC CurrentSince Jul 1, 2024 Accepting new patients

Locations

1501 S Coulter St
Amarillo, TX 79106
Phone (800) 354-1150

2001 S Coulter St
Ste 2001
Amarillo, TX 79106
Phone (806) 318-5777

3501 S Soncy Rd
Ste 124
Amarillo, TX 79119
Phone (806) 358-8625

4121 S Georgia St
Amarillo, TX 79110
Phone (561) 203-0611

4207 W Amarillo Blvd
Amarillo, TX 79106
Phone (806) 351-7850

7200 SW 45th Ave
Unit 14
Amarillo, TX 79109
Phone (806) 680-1900

8960 Hillside Rd
Amarillo, TX 79119
Phone (806) 351-6987

8960 Hillside Rd
#N
Amarillo, TX 79119
Phone (806) 351-6987

301 N 23rd St
Ste C
Canyon, TX 79015
Phone (806) 351-7150

500 N Highland Ave
Sherman, TX 75092
Phone (903) 870-4494

Organizations & group practices 7

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": "1566691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755129600000",
    "number": "1710534607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 S SONCY RD STE 124",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791196406",
            "telephone_number": "806-358-8625",
            "fax_number": "806-503-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 S SONCY RD STE 124",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791196406",
            "telephone_number": "806-358-8625",
            "fax_number": "806-503-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYNNE",
        "first_name": "KAITLYN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-25",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP142425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.