Individual provider Active NPI

Kayla Marie Reynolds, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Springdale, AR
National Provider Identifier
1164399424
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
120007 Issued in AR
Practice address
700 N 40TH St Ste B
Springdale, AR 72762-0633
Phone
(479) 318-2828
Fax
(479) 318-2683
NPI assigned
Oct 21, 2025
Last updated
Oct 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 120007 AR Primary

Addresses

Primary practice location

700 N 40TH St Ste B
Springdale, AR 72762-0633

Mailing address

700 N 40TH St Ste B
Springdale, AR 72762-0633
Phone (479) 318-2828

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20260102000137 AR Practitioner - Nurse Practitioner 7113413824 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Integrated Wellness and Mental Health, LLCGroup PAC ID 5698016897, 9 clinicians

Practice addresses (Care Compare)

303 W Newman Ave
Harrison, AR 72601-5839
Phone (479) 318-2828

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
120007ARMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Wellness and Mental Health, LLC Single Specialty CurrentSince Nov 1, 2025 Accepting new patients

Locations

4200 Jenny Lind Rd
Ste C
Fort Smith, AR 72901
Phone (479) 318-2828

303 W Newman Ave
Harrison, AR 72601
Phone (479) 318-2828

401 N 8th St
Unit 58
Rogers, AR 72757
Phone (479) 318-2828

700 N 40th St
Ste B
Springdale, AR 72762
Phone (479) 318-2828

Organizations & group practices 1

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": "1761004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761004800000",
    "number": "1164399424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 N 40TH ST STE B",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727620633",
            "telephone_number": "479-318-2828",
            "fax_number": "479-318-2683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 N 40TH ST STE B",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727620633",
            "telephone_number": "479-318-2828",
            "fax_number": "479-318-2683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "KAYLA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-21",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AR",
            "license": "120007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springdale, AR

Sources for this page

Verify at the official NPI Registry.