Individual provider Active NPI

Sydney Taylor Henry, APRN, FNP-C

  • Family Nurse Practitioner
  • Wichita, KS
National Provider Identifier
1942065628
Registry record updated Feb 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
53-82856-051 Issued in KS
Practice address
3161 N Rock Rd Ste a
Wichita, KS 67226-1453
Phone
(316) 440-2712
NPI assigned
Feb 20, 2024
Last updated
Feb 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2024

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 53-82856-051 KS Primary

Addresses

Primary practice location

3161 N Rock Rd Ste a
Wichita, KS 67226-1453

Mailing address

3161 N Rock Rd Ste a
Wichita, KS 67226-1453
Phone (316) 440-2712

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
I20240314001609 KS Practitioner - Nurse Practitioner 9739525544 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maria Medical Group LLCGroup PAC ID 5991936403, 15 clinicians

Practice addresses (Care Compare)

3161 N Rock Rd a
Afc Doctors Express
Wichita, KS 67226-1312
Phone (316) 440-2712

3311 E Murdock St
Wichita, KS 67208-3054
Phone (316) 689-9349

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
53-82856-051KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Maria Medical Group, LLC CurrentSince Feb 7, 2024 Accepting new patients
Ascension Medical Group Via Christi, PA CurrentSince Sep 16, 2025 Accepting new patients
Ascension Medical Group Via Christi, PA CurrentSince Sep 16, 2025 Accepting new patients

Locations

3161 N Rock Rd
Wichita, KS 67226
Phone (316) 440-2712

3161 N Rock Rd
Ste A
Wichita, KS 67226
Phone (316) 440-2712

3311 E Murdock St
Wichita, KS 67208
Phone (316) 689-9107

Organizations & group practices 3

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": "1708387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708819200000",
    "number": "1942065628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3161 N ROCK RD STE A",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672261453",
            "telephone_number": "316-440-2712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3161 N ROCK RD STE A",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672261453",
            "telephone_number": "316-440-2712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "SYDNEY",
        "middle_name": "TAYLOR",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-20",
        "last_updated": "2024-02-25",
        "certification_date": "2024-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-82856-051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.