Kohlton Riley Rhoda, APRN
Individual provider Active NPI Adult Health Nurse Practitioner · Garfield, AR
NPI 1851027114 · NPPES record last updated Oct 14, 2025
Key facts
- NPI
- 1851027114
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- 192555 (AK)
- Practice address
- 16723 Highway 62
Garfield, AR 72732-7007 - Phone
- (479) 359-2151
- NPI assigned
- Jul 28, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 18
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Access Medical Clinic Arkansas LTC LLC
Access Medical Clinic Arkansas LLC
Practice addresses (Care Compare)
1010 N Ctr St
Lonoke, AR 72086-2005
Phone (501) 438-8075
106 N Van Buren St
Weiner, AR 72479-9289
Phone (870) 605-0014
11005 Heber Springs Rd N
Concord, AR 72523-9561
Phone (844) 291-4901
1308 E Page Ave
Malvern, AR 72104-4518
Phone (501) 337-9820
16723 Hwy 62
Garfield, AR 72732-7007
Phone (870) 219-7706
451 Phillips St
West Fork, AR 72774-2813
Phone (479) 294-6085
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240627001720 | AR | Practitioner - Nurse Practitioner | 4486038551 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 192555 | AK | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bradley Bibb MD PLLC | Current |
Accepting new patients | |
| Access Medical Clinic Arkansas LTC LLC | Current |
Accepting new patients | |
| Bradley Bibb MD PLLC | Current |
Accepting new patients | |
| Access Medical Clinic Arkansas LTC LLC | Current |
Accepting new patients | |
| Access Medical Clinic Arkansas LLC | Current | Accepting new patients | |
| Access Medical Clinic Arkansas LLC | Current |
Accepting new patients | |
| Access Medical Clinic Arkansas LLC | Current |
Accepting new patients | |
| Bradley Bibb MD PLLC | Past | Accepting new patients | |
| Access Medical Clinic Arkansas LLC | Past | Accepting new patients |
Locations
49 Highway 62 412
Ash Flat, AR 72513
Phone (573) 718-2570
16723 Highway 62
Garfield, AR 72732
Phone (870) 219-7706
4196 Highway 62 412
#A
Hardy, AR 72542
Phone (870) 856-2100
3809 E 9th St
Ste 15
Texarkana, AR 71854
Phone (870) 621-0080
106 N Van Buren St
Weiner, AR 72479
Phone (870) 605-0014
Interoperability endpoints
- kohlton.rhoda.1@15024.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 192555 | AK | Yes |
Addresses
Primary practice location
16723 Highway 62
Garfield, AR 72732-7007
Mailing address
4196 Highway 62 412 Ste a
Hardy, AR 72542-8002
Other names
- Kohlton Riley Davidson
Other providers in Garfield, AR
- Lauren Addison
- Kimberly Dawn Burner
- Garfield Scholars' Academy
- Alicia Marie Gates
- Northeast Benton County Volunteer Fire Department Inc
- Volunteer Ambulance Service of NE Benton County
All providers in Garfield, AR · Adult Health Nurse Practitioner in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 14, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.