Individual provider Active NPI

Kyla Danielle Hargraves, APRN

  • Family Nurse Practitioner
  • Okeechobee, FL
National Provider Identifier
1053965764
Registry record updated Jul 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11002701 Issued in FL
Practice address
204 SE Park St
Okeechobee, FL 34972-2967
Phone
(863) 763-1107
NPI assigned
Jul 31, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2019

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 11002701 FL Primary

Addresses

Primary practice location

204 SE Park St
Okeechobee, FL 34972-2967

Mailing address

204 SE Park St
Okeechobee, FL 34972-2967
Phone (863) 763-1107

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20191015002250 FL Practitioner - Nurse Practitioner 0547591059 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11002701FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Best Value Healthcare LLC CurrentSince Aug 1, 2019 Accepting new patients
Best Value Healthcare LLC PastSince Jun 22, 2021 Accepting new patients

Locations

2150 W 76th St
Ste 110
Hialeah, FL 33016
Phone (305) 821-9791

3800 E Bay Dr
Largo, FL 33771
Phone (727) 539-0505

525 Pine Island Rd
Ste A
North Fort Myers, FL 33903
Phone (239) 984-2399

204 SE Park St
Okeechobee, FL 34972
Phone (772) 546-3223

1501 Presidential Way
Ste 12
West Palm Beach, FL 33401
Phone (407) 471-9484

Organizations & group practices 2

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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
Best Value Healthcare LLC 56 clinicians

Practice addresses (Care Compare)

204 SE Park St
Okeechobee, FL 34972-2967
Phone (863) 763-1107

3800 E Bay Dr
Largo, FL 33771-1937
Phone (727) 539-0505

Hospital & facility affiliations

  • Trilogy Home Healthcare Home health agency, Port Saint Lucie, FL, CCN 109270
  • Visiting Nurse Association of Florida Inc Home health agency, Stuart, FL, CCN 107177
  • Vitas Healthcare Corporation of Florida Hospice, Melbourne, FL, CCN 101545
  • HCA Florida Raulerson Hospital Hospital, Okeechobee, FL, CCN 100252

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1564531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564531200000",
    "number": "1053965764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 SE PARK ST",
            "city": "OKEECHOBEE",
            "state": "FL",
            "postal_code": "349722967",
            "telephone_number": "863-763-1107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 SE PARK ST",
            "city": "OKEECHOBEE",
            "state": "FL",
            "postal_code": "349722967",
            "telephone_number": "863-763-1107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARGRAVES",
        "first_name": "KYLA",
        "middle_name": "DANIELLE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-31",
        "last_updated": "2019-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11002701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Okeechobee, FL

Sources for this page

Verify at the official NPI Registry.