Individual provider Active NPI

Kayla Manatt, CNP

  • Family Nurse Practitioner
  • Conway, AR
National Provider Identifier
1235648874
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A005368 Issued in AR
Practice address
2125 Robinson Ave
Conway, AR 72034-4940
Phone
(501) 358-6700
NPI assigned
Sep 27, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 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 A005368 AR Primary

Addresses

Primary practice location

2125 Robinson Ave
Conway, AR 72034-4940

Mailing address

2125 Robinson Ave
Conway, AR 72034-4940
Phone (501) 358-6700

Other identifiers 1

IdentifierTypeStateIssuer
A005368OtherARCERTIFIED NURSE PRACTITIONER

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
I20171025001252 AR Practitioner - Nurse Practitioner 6901172618 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
William H. Freeman, M.D., P.a.Group PAC ID 2668505215, 6 clinicians

Practice addresses (Care Compare)

2125 Robinson Ave
Conway, AR 72034-4940
Phone (501) 358-6700

600 Club LN
Conway, AR 72034-3624
Phone (501) 327-0110

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A005368ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
William H Freeman, MD PA CurrentSince Apr 8, 2024 Accepting new patients
Condren Family Nutrition Current Accepting new patients
Arkansas Heart Hospital Rural Health Services, LLC CurrentSince Oct 25, 2021 Accepting new patients
Arkansas Heart Hospital, LLC CurrentSince Oct 25, 2021 Accepting new patients
Arkansas Heart Hospital, LLC CurrentSince Oct 25, 2021 Accepting new patients
Conway Regional Medical Center Inc PastSince May 4, 2025 Accepting new patients

Locations

1901 Encore Way
Bryant, AR 72019
Phone (501) 213-4500

600 Club Ln
Conway, AR 72034
Phone (501) 327-0110

2125 Robinson Ave
Conway, AR 72034
Phone (501) 358-6700

7 Shackleford West Blvd
Little Rock, AR 72211
Phone (501) 614-3671

Organizations & group practices 6

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 6

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

NPI Registry JSON

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

{
    "created_epoch": "1506470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746057600000",
    "number": "1235648874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2125 ROBINSON AVE",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720344940",
            "telephone_number": "501-358-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2125 ROBINSON AVE",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720344940",
            "telephone_number": "501-358-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANATT",
        "first_name": "KAYLA",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-27",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A005368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFIED NURSE PRACTITIONER",
            "identifier": "A005368",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, AR

Sources for this page

Verify at the official NPI Registry.