Individual provider Active NPI

Kayla McClanahan, APRN

  • Family Nurse Practitioner
  • Little Rock, AR
National Provider Identifier
1508617549
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
120579 Issued in AR
Practice address
200 River Market Ave Ste 100
Little Rock, AR 72201-1762
Phone
(501) 492-0099
Fax
(479) 968-1673
NPI assigned
Mar 28, 2024
Sex
Female
Sole proprietor
No

Organizations & group practices 8

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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SHC Medical Partners of Arkansas LLC 28 clinicians
Appello Health and Wellness Clinic LLC 76 clinicians

Practice addresses (Care Compare)

200 River Market Ave
Suite 100
Little Rock, AR 72201-1762
Phone (501) 267-9870

2223 Grant St
Malvern, AR 72104-4700
Phone (501) 337-9031

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
I20240409000321 AR Practitioner - Nurse Practitioner 2264870385 Reassigns benefits to 6 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
120579ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Icp Arkansas Aco Billing LLC CurrentSince Mar 22, 2024 Accepting new patients
Integrated Care Professionals, LLC CurrentSince Mar 22, 2024 Accepting new patients
Abode Care Partners Al VB, LLC CurrentSince Jul 20, 2025 Accepting new patients
Abode Care Partners Al VB, LLC CurrentSince Jul 20, 2025 Accepting new patients
Abode Care Partners LTC VB, LLC CurrentSince Jul 20, 2025 Accepting new patients
SHC Medical Partners of Arkansas, LLC CurrentSince Jan 20, 2025 Accepting new patients
Abode Care Partners LTC VB, LLC CurrentSince Jul 20, 2025 Accepting new patients

Locations

200 River Market Ave
Ste 500
Little Rock, AR 72201
Phone (501) 492-0099

200 River Market Ave
Ste 100
Little Rock, AR 72201
Phone (501) 267-9870

805 N Whittington Pkwy
Ste 400
Louisville, KY 40222
Phone (502) 272-3438

805 N Whittington Pkwy
Northfield, KY 40222
Phone (502) 627-7000

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 120579 AR Primary

Addresses

NPPES NPI Registry

Primary practice location

200 River Market Ave Ste 100
Little Rock, AR 72201-1762

Mailing address

PO Box 9178
Russellville, AR 72811-9178
Phone (855) 498-6767

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 28, 2024.

{
    "created_epoch": "1711584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711584000000",
    "number": "1508617549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9178",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728119178",
            "telephone_number": "855-498-6767",
            "fax_number": "479-968-1673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 RIVER MARKET AVE STE 100",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722011762",
            "telephone_number": "501-492-0099",
            "fax_number": "479-968-1673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLANAHAN",
        "first_name": "KAYLA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-28",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "120579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.