Active NPI
Lara Lea Kyhl, ARNP
- Family Nurse Practitioner
- Shell Rock, IA
National Provider Identifier
1467543124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- A095740
- Practice address
- 1001 Mason Way
Shell Rock, IA 50670-1007 - Phone
- (319) 885-6530
- Fax
- (877) 325-1948
- NPI assigned
- Sep 27, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | A095740 | IA | Primary |
Addresses
Primary practice location
1001 Mason Way
Shell Rock, IA 50670-1007
Mailing address
31379 302ND St
New Hartford, IA 50660-8602
Phone (319) 240-8116
Other practice location 1
312 9th St SW
Waverly, IA 50677-2999
Phone (319) 352-4120
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467543124 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A095740 | IA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Waverly Health Center | Current | Accepting new patients | |
| Waverly Health Center | Current | Accepting new patients | |
| Waverly Health Center | Current | Accepting new patients | |
| Floyd County Memorial Hospital Commission | Past | Accepting new patients |
Locations
1001 Mason Way
Shell Rock, IA 50670
Phone (319) 885-6530
312 9th St SW
Waverly, IA 50677
Phone (319) 352-4120
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 and National Provider Directory roles.
-
- Critical Access Hospital
- Waverly, IA
- NPI 1447299953
-
- Family Medicine Physician
- Waverly, IA
- NPI 1598959371
-
- Rural Health Clinic/Center
- Janesville, IA
- NPI 1184094534
-
- Critical Access Hospital
- Charles City, IA
- NPI 1265402390
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729814400000",
"number": "1467543124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31379 302ND ST",
"city": "NEW HARTFORD",
"state": "IA",
"postal_code": "506608602",
"telephone_number": "319-240-8116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 MASON WAY",
"city": "SHELL ROCK",
"state": "IA",
"postal_code": "506701007",
"telephone_number": "319-885-6530",
"fax_number": "877-325-1948"
}
],
"practiceLocations": [
{
"address_1": "312 9th St SW",
"address_purpose": "LOCATION",
"city": "Waverly",
"state": "IA",
"postal_code": "506772999",
"country_code": "US",
"telephone_number": "319-352-4120",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KYHL",
"first_name": "LARA",
"middle_name": "LEA",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-27",
"last_updated": "2024-10-25",
"certification_date": "2024-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IA",
"license": "A095740",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1467543124",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Shell Rock, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.