Individual provider Active NPI

Kaylee Anne O'Hare, RD

  • Registered Dietitian
  • Little Rock, AR
National Provider Identifier
1639767585
Registry record updated Jan 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86116278 Issued in AR
Practice address
11219 Financial Centre Pkwy Ste 200
Little Rock, AR 72211-3873
Phone
(501) 455-2712
NPI assigned
Jan 6, 2021
Last updated
Jan 6, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 86116278 AR Primary

Addresses

Primary practice location

11219 Financial Centre Pkwy Ste 200
Little Rock, AR 72211-3873

Mailing address

PO Box 497
Augusta, AR 72006-0497
Phone (870) 347-2534

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210210001021 AR Practitioner - Registered Dietitian Or Nutrition Professional 3274948971 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
86116278ARMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Arcare Current Accepting new patients
Arcare CurrentSince Jan 11, 2021 Accepting new patients
Arcare CurrentSince Jan 11, 2021 Accepting new patients
Arcare PastSince Jan 10, 2021 Accepting new patients

Locations

623 N 9th St
#40
Augusta, AR 72006

11219 Financial Centre Pkwy
Ste 200
Little Rock, AR 72211
Phone (501) 455-2712

Interoperability endpoints

  • Direct secure messaging: kaylee.ohare@arcare.directbygreenway.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1609891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609891200000",
    "number": "1639767585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 497",
            "city": "AUGUSTA",
            "state": "AR",
            "postal_code": "720060497",
            "telephone_number": "870-347-2534",
            "fax_number": "870-347-1235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11219 FINANCIAL CENTRE PKWY STE 200",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722113873",
            "telephone_number": "501-455-2712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'HARE",
        "first_name": "KAYLEE",
        "middle_name": "ANNE",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-06",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "AR",
            "license": "86116278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.