Individual provider Active NPI

Kayla Garrett, MSN, APRN, AGNP-C

  • Nurse Practitioner
  • Livonia, MI
National Provider Identifier
1447754627
Registry record updated Jul 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AG12170010 Issued in MI
Practice address
19000 St Joes Pkwy Ste 200
Livonia, MI 48152-1477
Phone
(342) 133-6857
Fax
(734) 213-3686
NPI assigned
Mar 21, 2018
Last updated
Jul 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AG12170010 MI Primary

Addresses

Primary practice location

19000 St Joes Pkwy Ste 200
Livonia, MI 48152-1477

Mailing address

19000 St Joes Pkwy Ste 200
Livonia, MI 48152-1477
Phone (734) 213-3685

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20181218001866 MI Practitioner - Nurse Practitioner 2769727858 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Iha Olma Primary Care Risk LLCGroup PAC ID 1153733324, 26 clinicians

Practice addresses (Care Compare)

19000 St Joes Pkwy
Suite 200
Livonia, MI 48152-1477
Phone (734) 213-3685

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AG12170010MIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Mary Mercy Physician Practices CurrentSince Nov 19, 2018 Accepting new patients
Iha Olma Primary Care Risk LLC Nurse Practitioner CurrentSince Aug 24, 2021 Accepting new patients
St Mary Mercy Physician Practices CurrentSince Nov 19, 2018 Accepting new patients
Iha Olma Primary Care Risk LLC Current Accepting new patients

Locations

24 Frank Lloyd Wright Dr
Ann Arbor, MI 48105
Phone (734) 930-7400

14555 Levan Rd
Ste 112
Livonia, MI 48154
Phone (734) 712-1000

19000 St Joes Pkwy
Ste 160
Livonia, MI 48152
Phone (734) 884-5200

19000 St Joes Pkwy
Ste 200
Livonia, MI 48152
Phone (734) 213-3685

19000 St Joes Pkwy
Ste 310
Livonia, MI 48152
Phone (248) 743-4490

37595 7 Mile Rd
Ste 340
Livonia, MI 48152
Phone (734) 542-9999

Interoperability endpoints

  • Direct secure messaging: kgarrett36580@direct.trinity-health.org

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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": "1521590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751932800000",
    "number": "1447754627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19000 ST JOES PKWY STE 200",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481521477",
            "telephone_number": "734-213-3685",
            "fax_number": "734-213-3686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19000 ST JOES PKWY STE 200",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481521477",
            "telephone_number": "342-133-6857",
            "fax_number": "734-213-3686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRETT",
        "first_name": "KAYLA",
        "name_prefix": "Ms.",
        "credential": "MSN, APRN, AGNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-21",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "AG12170010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

Verify at the official NPI Registry.