Individual provider Active NPI

Kayla Martin, APRN

  • Nurse Practitioner
  • Sherwood, AR
National Provider Identifier
1487223632
Registry record updated Jun 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
216433 Issued in AR
Practice address
6020 Warden Rd Ste 100
Sherwood, AR 72120-6015
Phone
(501) 552-6400
NPI assigned
Jun 22, 2021
Last updated
Jun 22, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2021

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 216433 AR Primary

Addresses

Primary practice location

6020 Warden Rd Ste 100
Sherwood, AR 72120-6015

Mailing address

100 Mark Lynn Cir
Cabot, AR 72023-8202
Phone (870) 834-7277

Other practice location 1

2215 Wildwood Ave
Sherwood, AR 72120-5089
Phone (501) 552-2000

Other practice location 2

100 Mark Lynn Cir
Cabot, AR 72023-8202
Phone (870) 834-7277

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
I20220103001677 AR Practitioner - Nurse Practitioner 1759772601 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arkansas Heart Hospital LLCGroup PAC ID 6002838653, 85 clinicians
Arkansas Heart Hospital Rural Health Services, LLCGroup PAC ID 6204004815, 52 clinicians

Practice addresses (Care Compare)

7 Shackleford W Blvd
Little Rock, AR 72211-3886
Phone (501) 664-5860

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
216433ARMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. Vincent Medical Group Nurse Practitioner CurrentSince Jun 27, 2021 Accepting new patients
Arkansas Heart Hospital Rural Health Services, LLC CurrentSince Aug 5, 2024 Accepting new patients
Arkansas Heart Hospital, LLC CurrentSince Aug 5, 2024 Accepting new patients
Arkansas Health Group Current Accepting new patients
Arkansas Heart Hospital, LLC CurrentSince Aug 5, 2024 Accepting new patients
Arkansas Health Group CurrentSince Dec 20, 2021 Accepting new patients
Arkansas Health Group CurrentSince Dec 20, 2021 Accepting new patients

Locations

11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215

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

9601 Baptist Health Dr
Little Rock, AR 72205
Phone (501) 202-3995

9601 Baptist Health Dr
Ste 700
Little Rock, AR 72205
Phone (501) 219-1970

9601 Baptist Health Dr
Ste 900
Little Rock, AR 72205
Phone (501) 224-1135

209 S Portland Ave
Unit 2
Russellville, AR 72801
Phone (479) 967-0690

2215 Wildwood Ave
Sherwood, AR 72120
Phone (501) 522-7100

6020 Warden Rd
Ste 100
Sherwood, AR 72120
Phone (501) 552-6400

Organizations & group practices 7

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 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": "1624320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624320000000",
    "number": "1487223632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MARK LYNN CIR",
            "city": "CABOT",
            "state": "AR",
            "postal_code": "720238202",
            "telephone_number": "870-834-7277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6020 WARDEN RD STE 100",
            "city": "SHERWOOD",
            "state": "AR",
            "postal_code": "721206015",
            "telephone_number": "501-552-6400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2215 Wildwood Ave",
            "address_purpose": "LOCATION",
            "city": "Sherwood",
            "state": "AR",
            "postal_code": "721205089",
            "country_code": "US",
            "telephone_number": "501-552-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Mark Lynn Cir",
            "address_purpose": "LOCATION",
            "city": "Cabot",
            "state": "AR",
            "postal_code": "720238202",
            "country_code": "US",
            "telephone_number": "870-834-7277",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "KAYLA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-22",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AR",
            "license": "216433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherwood, AR

Sources for this page

Verify at the official NPI Registry.